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(Mr D.W. Bramley Office of Publications, World Health Organization [email protected])

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14

BPIOIIIHMI llOllOCTh 2

CHUM OK liPIOI..UHOH DOJIOCTU - AP. " BocnarreHHe 6plOWHOH nonocrH". Ilono>KeHHe cTo.si.

B03hMHTe nneHKY Heo6xo.uwMoi:f qyscTBHTeJibHOCTH. KacceTa c ycHJIHBaiOI.l.J,HM 3KpaHOM 200/400 e.n.

PaJMep KacceThi. 35-43cM(l4-l 7 .UIOHMOB) 24-30cM(10-12 )].IOHMOB) 06o3HatihTe nesyro HJIH npasyro cTopoHy.

3HatieHHe Bbl- MAC MAC ,Uep>KKH 80KB CHHetiyscs. 3eJieHOtiYBCTB.

200 e.u. 400/450 e.u. Cpe.uHee 80 25 lllKarra 50-160 16-50 Pe6eHOK 30 Kr 32 12.5

KoMMeHTapwi:f. ,[(Ha$parMa ,UOJI>KH3 6h1Tb BH.UHMa; eCJIH HeT, nposepbTe ueHYpaU.HlO HJIH cMeHHTe nneHKy.

15

l.PacnOJIO>KHTe nau,HeHT3, K3K ll0Ka33HO Ha pHCYHKe.

2.YCTaHOBHTe U,eHTp. 3.IlonpocHTe nau,HeHTa Ja.uep>KaTb .ll.hi

xaHHe. C.uenaiiTe CHHMOK. 4.Pa3peWHTe nauHeHTY .UhiUJ3Tb.

IJpH BbinOJIHeHHH CHHMK3 y MJia)].eHUeB H MaJieHbKHX )],eTeH BeCOM .UO 15 Kr, CMOYpHTe masy EPIOIIIHAJI nOJIOCTh 4.

EPIOIIIHA51 IIOJ10CTb 3

JiPIOIUHAA DOJIOCTL. CHHMOK 6oKOM. lloJIO)((eHHe- ne:>Ka Ha npasoii HJIH nesoii cTopoHe.

BoJbMHTe nneHKY Heo6xo.l(HMOH qysCTBHTeJibHOCTH. KacceTa c ycHJIHBaJOI.UHM 3KpaHOM 200/400 e.u.

PaJMep KacceThi. 35-43cM( 14-17 .l(K>HMOB) 06oJHallbTe nesyK> HJIH npasyK> CTOpoey.

3Ha"'euue Bhi- MAC .n.ep:>KKH 80KB CHHeqyscTB.

200 e.l(. Cpe.l(Hee 50 lliKana 40-100

BepxH.SJJI "'aCTh 6pK>IIIHOH nonocTH .l(OJI:>KHa 6hiTb BH.l(HMa Ha nJieHKe.

MAC

3eJieHOliYBCTB. 400/450 e.l(. 20 16-40

. 16

l.PacnOJIO:>KHTe nauHeHTa, KaK DOKaJaHO Ha pHCYHKe.

2.YCT3HOBHTe UeHTp. 3.flonpOCHTe naUHeHTa Bbl.l(OXHYTb H Ja.uep:>KaTb .Uhtxauue. C.uenaihe CHHMOK.

4. PaJpeWHTe nauHeHry .UhiWaTb. 5. ITepesepHHTe nauHeHTa H c.uenaihe

CJie.UyK>I.UHH CHHMOK.

BepxH.sur "13CTb .n.Hacl>parMbi .uon:>KHa 6biTb BH.UHMa Ha nneuKe •

EPIOlllHMIITOJIOCTh 4

liPIOWH~ llOJIOCTh- AP. CHHMOK BhinOJIH.sleTCH MJia.lleHQaM n Ma.neHbKHM )J.eTHM secoM )J.O 15 Kr, c noMep)KKOH 3a pyKH. lloJIO)KeHHe - CTO.sr.

Bo3hMHTe nJieHKY Heo6xo)J.HMOH 'IYBCTBHTeJihHOCTH. KacceTa c ycnJinsaiOUlHM )KpaHoM 200\400 e)]..

PaJMep KacceTbl. 24-30CM( 10-12 ,ll.IOHMOB) 0603H3%Te JieByiO HJIH npasy10 CTOpOHY.

3Ha'!eHHe Bbl- MAC )J.ep)KKH

70KB CHHettyBCTB. 200 e,ll..

Cpe)J.Hee 20 lliKa.na 8-32

KoMMeHTapHH.

MAC

3eJieH0'1YBCTB. 400e)J.. 10 4-16

l .PacnOJIO)KHTe nauHeHTa, KaK OOKa3aHO Ha pHCYHKe.

2.Pe6eHKa OOMep)KHBaiOT 3a pyKH, COHHa npH)1(3Ta K $poHTaJihHOH CTOpOHe KaCCeTO-,ll.ep)Ka

TeJIH. 3.PeHTfeH-Jia6opaHT OOMep)I(HBaiOIUHH pe6eH

Ka, ,lJ.OJI)I(eH Ha)J.eTh 3aUlHTHhiH <t>apTyK H 3aUlHTHbJe nep'IaTKH.

4.1.J:eHTp - nynoK. 5.C,ll.eJiaHTe CHHMOK, KOr,lJ.a pe6eHOK He )J.BH

raeTC.sl.

I

PeHTreH-Jia6opaHT noMep)I(HBaJOmni:f pe6eHKa, )J.OJI)KeH Ha)J.eTh 3alUHTHhiH $apzyK.

17

EPIOlllHAJI fiOJIOCTh 5

0630PHLIH CHUM OK MQqEBhiBO,l.VIIIlHX UYTEH. nonomeHue - nema Ha cnuHe.

Bo3bMHTe nneHKY ueo6xo.LJ;HMOH tiYBCTBHTeJlbHOCTH. KacceTa c ycunusaJOIUHM 3KpaHOM 200/400 e.D;.

Pa3Mep KacceThi. 35-43cM( 14-17 .LJ;IOHMOB) 24-30cM( 10-12 .Z:UOHMOB) 0603Ha'lbTe JleByiO HJlH npasyiO CTOpOHy.

3HatieHHe Bbl- MAC ,llep)I(KH KB CuHetiyBcTB.

200 e.D;. 70 125 80 npH BBe,lleHHH 63 KOHTpaCTa

KoMMeHTapuii.

MAC

3eneHO'lYBCTB. 400/450 e.n. 63 32

HnmHue pe6pa (sepxHwe noniOChi notieK) .AOJl)I(Hbi 6hiTb BH.llHMbi. Ecnu HeT - nposepbTe ueuTp H cMeHHTe nneuKy.

l8

l .PacnoJJO)I(HTe nauHeHTa, KaK noKa3aHo Ha pucyHKe.

2.TIOJ10)1(HTe He60JiblllYIO no.nylllKY no.A ronosy nauneHTa.

3 .TionpOCHTe nauHeHTa Bbi.D;OXHYTb H 3a.nepmaTb .llhixamte.

4.C.LJ;e11aHTe CHHMOK. 5.Pa3pewuTe nauneHTY .llbiWaTb.

EPIOlllHA>l TIOJIOCTh 6

MOqEBOU IIY3h1Pb H OPr AHbl T A3A. nono>KeHHe - ne>Ka Ha cnHHe. Jlyq no.D. yrnoM 20°.

Bo3bMHTe nneHKY Heo6xO.D.HMon qyscTBHTenhHOCTH. KacceTa c ycHJ1HBaK>lllHM 3KpaHoM 200/400 e.D..

l.Pacnono>KHTe nauHeHTa, KaK noKa3aHo Ha pHCYHKe.

Pa3Mep KacceTLI. 24-30cM(l 0-12 .ll.IOHMOB) 0603HalfbTe JieByK> HJ1H npasy10 CTOpOHy.

3HatieHHe Bbl- MAc( cpe.D.Hee) ,ll.ep>KKH KB CHHeiiyscTB.

200 e.n. 70 200 80 npH BBe,ll.eHHH 100 KOHTpaCTa

2.llono>KHTe no.D. ronoay nauHeHTa no.D.yiiiKy. L{eHTp- 4CM Ha,ll. CHMqlH30M.

3 .nonpoCHTe nauHeHTa 3a.D.ep>KaTD .ll.hiXaHHe. 4.C,ll.eJiaHTe CHHMOK.

5.Pa3peiiiHTe nauHeHzy .ll.biiiiaTb.

MAc( cpe,nHee)

3eneHO'iYBCTB. 400/450 100 50

19

EPIOIIIHA51110JIOCTb 7.1

BHYTPUBEHHMI YPOrPAcDIDI. Hccne.n;osaHHe rroqeK, MoqeToqHHKOB, Moqesoro ny3bipg.

l.Tiepe.a Hccne.aosaHHeM rrorrpocHTe rrauHeHTa orropmKHHTb MoqesoH: rry3bipb . EcnH CTOHT KaTeTep, OTKpoH:Te ero H orropO)((HHTe MoqesoH: rry3bipb.

2.<l>OT01, CHHMOK 6pJOIIIHOH ITOnOCTH H TaJa - ITOnO)((eHHe ne)((a Ha CIIHHe. 0603HaqhTe neByiO HnH rrpaByJO CTOpOHy.

3.EcnH H306pa>KeHHe TaJa He ITOnHOe- C.L(enaH:Te CHHMOK B ITOnO)((eHHe CTOji, <l>OTO lA, MoqesoH: rry3bipb H opraHbi TaJa (EpronJHag llOJIOCTb 6).

EpiOIIIHag rronocTb 5 IIOJIOCTb 6

20

EpiOIIIHag

BPIOIIIHMI IIOJIOCTb 7.2

BHYTPHBEHHAJI YPOrPA<])IUI (npo.non)l(eH.ue).

4.fl>OTO 1 (HJlH fl>OTO lA, npH He06XO)lHMOCTH) )lOJl)l(eH nOCMOTpeTb Bpati.

Bpaq BBO)J.HT naQHeHTY KOHTpaCTHhiH npenapaT.

5.3anHIIIHTe BpeMjl BBe.UeHHjl KOH1J!aCTHOf0 npenapaTa.

6.Bpaq He .ll.OJl)l(eH yxO,UHTh H3 peHTreH-Ka6HHeTa. C.nenaHTe CHHMOK (fl>OT02) MOI.feBbiBO)ljllUHX nyTeH naQHeHTa.

7.qepe3 10 MHHYT c.n.enaHTe cne.nyiDIUHH CHHMOK (fl>OT03).

8 .IJOKa)KHTe CHHMOK 2 H CHHMOK 3 Bpaiiy. IJOIIKH, MOIIeTOIIHHKH H MOIIeBOH ny3hlpb .liOJl)l(Hhl 6hiTb BH,UHhl.

Ilo3HQHji BPIOIIIHMI IIOJIOCTb 5.

<l>OTO 2 <l>OTO 3

21

EPIOiliHAJI llOJIOCTb 7.3

BHYTPHBEHHAJI YPOrPA(J)IUI (npo.uomKeHHe).

86. EcnH spa'i y.uosneTBopeH CHHMKaMH (<l>OTO 2 H <l>OTO 3), CMO'fPHTe cne.uyJOIUYJO c-rpaHHUy.

88. ECJIH Bpa'i Hey,UOBJieTBOpeH CHHMKaMH:

9a. fiauHeHT HaXO,UHTC.R: B DOJIO)I(eHHH Jie)l(a Ha )I(HBOTe (KaK DOKa3aHO Ha pHCYHKe HH)I(e). Y6e.AHTeCb, LITO

4JoKyc Tpy6KH HanpaBJieH B ueHTp II03BOHOL!HOrO CTOJI6a. Y6e.AHTeCb, 1-ITO Bbl npaBHJibHO 0603HaL!HJIH

JieByJO HJIH npaBHJibHYIO CTOpOHy.

96. qepe3 25 MHH. nocne sse.ueHH11 KOH-rpaCTHOro semecTsa c.uena:HTe CHHMOK ( 4JoTo 3A). 10. Y6e,UHTeCb B TOM, 1-ITO CHHMOK 'ieTKHH. fiepesepHHTe nauHeHTa Ha CIIHHy.

•z

'I IToJIO)I(eHHe - JJe)l(a Ha )I(HBOTe.

22

<l>oTO 3A

EPIOlllHMI IIOJIOCTb 7.4

BHYTPHBEHH.ul YPOrPAcJ>UjJ (npo.non)KeHHe). CHHMOK Moqesoro ny3hip~.

11 a. C.nenaiire CHHMOK (Moliesoii ny3hipb nonHbiH), <l>OTO 4. 116. IlposepbTe Kal.JeCTBO CHHMKa. 12a. Ilpe.nnO)KHTe nauHeHTY onopO)KHHTb MOl.JeBOH ny3bipb. 126. C.nenaiire CHHMOK <t>OTO 4A. 13. IlOKa)KHTe CHHMKH Bpaqy; nauHeHT ne)KHT Ha CTOne .UO TeX nop, noKa Bpaq H3yqaeT CHHMKH.

ITo3HUJ1jj (EpiOIIIHaH nonocTb 6)

<l>OTO 4 <t>OTO 4A

23

EPIOlllHAJI ITOJIOCTb 8

liOKOBOH CHHMOK y 6epeMeHHbiX *eHWHH. llOJIO)I(eHHe - CTO.ll.

TaKOH CHHMOK BbinOJIH.lleTCji npH ITO.II.03peHHH Ha HenpOXO.IJ.HMOCTb KHIIIetfHHKa. CpoK 6epeMeHHOCTH - ne pauee 3 7 ue.n.enh. He .n.enauTe peuTreuoscKHH CHHMOK, ecnu MO)I(HO c.n.enaTb Y3H.

J.Ilepe.D. CHHMKOM nauHeHTKa .II.OJI)I(Ha OITOpO)I(-Bo3bMHTe nneHKY Heo6xo.n.nMou qyscTBHTeJibHOCTH. KacceTa c ycHJIHsaJOW.HM 3KpaHOM 200\400 e.n.. HHTb MOtfeBOH ny3blpb.

2.PacnOJIO:>KHTe nauHeHTI<y, I<aK ITOI<a3aHO Ha pHCYHI<e.

PaJMep I<acceTLI. 35-43cM(l4-17 .IliOHMOB)

3HaqeHHe Bhi- MAC .n. ep)l(l(u 90 I<B CuueqyscTB.

200 e.n.. Cpe)luee 160 ill I< ana 100-200

KoMMeHTapHH.

MAC

3 .nonpocnTe nauHeHTKY npH)I(aTb nesy10 cTopouy K KacceTo-.n.ep:>KaTeJIJO. PaccTO.liHHe Me:>K.IlY uoraMH, I<aK noi<aJauo ua pHcyui<e.

4.IlonpOCHTe nauHeHTKY 3a.Ilep:>KaTb .IlhiXaHHe. C.IleJiaHTe CHHMOI<.

5.Pa3peiiiHTe nauHeHTKe .IJ.bJIUaTb.

3eJieHO'I{YBCTB. 400/500 e.n..

63 40-80

·.

Y6e)lHTeCb, lJTO CHM{j>H3bl Ha CHHMKe BH.D.HMbl. JhMepuTeJibHa.ll JIHHeHKa

24

EPIOII1HA51 IlOJIOCTh 9

CHHMOK Y JiEPEMEHHbiX JKEHUJ,HH- PA HJIH AP. llono)KeHHe- ne)Ka ua )I(HBOTe c 11pHI10.llH51TbiM Ta30M . .l(aHHOe HCCJie,llOB3HHe BbinOJIH51eTC51 11pH 110.ll03peHHH H3 KHllle~IHYIO HeiipOXO.llHMOCTb, HO He pauee cpoKa 37 ue.uenb. He .uena:Hre peurrenoBCKHH CHHMOK, ecnH MO)KHO c.uenaTb Y3H.

Bo3bMHTe rrneuKy ueo6xo.UHMOH t~yBCTBHTenLHOCTH. Kaccera c ycmmsaromHM 3KpanoM 200/400 e.u.

J.ilepe,ll HCCJie,llOB3HHeM 113UHeHTK3 ,ll0JI)KH3 onopO)I(HHTb Mot~esou rryJLipL.

2.PacnOJI0)KHTe 113I..{HeHTKy, K3K 110Ka33HO Pa3Mep KacceTLI. 35-43 CM (14-17 .UIOHMOB) 06o3HallbTe nesyro HJIH rrpasyro cropouy.

3HatfeHHe Bhl- MAC ,llep)KKH.

90KB CHnet~yscrs.

200 e.u. C_pe.uuee 160 lllKana 100-200

Ha pHCYHKe. 3.ECJIH 113I..{HeHTKa He MO)KeT Jie)I(3Tb Ha )KHBOTe,

BbiilOJIHHTe CHHMOK 8 IIOJIO)KeHHH Jie)l(a Ha CilHHe.

4.ilOIIpoCHTe nau,HeHTKY 3a,llep)K3Tb .llbiX3HHe. C.uenanTe CHHMOK.

5 p eUIHTe 113U,HeHTKe .llblll13Tb . . a3 p MAC

3eJieHOllyBCTB. 400/500 e.u.

63 40-80

25

fOJIOBA 1

rOJIQBA. fiOJIO)KeHHe - Jie)Ka. Jlyq HanpaBJieH OO,ll, yrJIOM 20°, KaK 00Ka3aHO Ha pHCyHKe. HeJib3}1 ,lJ,eJiaTb CHHMOK npH OO,lJ,03peHHH Ha nepeJIOM KOCTeH qepena HJIH KOr,lJ,a nauHeHT 6e3 C03HaHH}I.

Bo3hMHTe nneHKY Heo6xo,ll,HMOH qyscTBHTeJihHOCTH. KacceTa c ycHJIHBaiOIUHM 3KpaHOM 200/400 e,ll.

Pa3Mep KacceThl. 24-30 CM(10-l2 ,lJ,lOHMOB) 0603Ha"'hTe JieByiO HJIH npaByiO CTOpOHY.

3Ha"JeHHe Bbl- MAC MAC ,ll,ep)KKH 70 KB CHHeiJyscTB. 3eJieHO"'YBCT

200 e,ll. 400 e,ll,. Cpe,ll,Hee 100 50 IliKana 63-125 32-63

1.PacnoJIO)KHTe nauHeHTa, KaK noKa3aHo Ha pHCYHKe.

2.fionpOCHTe nauHeHTa CH11Tb cepbrH, 3aKOJIKH H ,li,pyrHe npe,li,MeTbJ. fiOJIO)KHTe

no,ll, nauHeHTa Marpau. PyKH CKpemeHhi s o6-JiaCTH rpy,ll,H. Jio6 conpHKacaeTC}I CO CTOJIOM.

3.C,lleJiai1Te CHHMOK.

26

fOJIOBA2

rOJIOBA. IlJIO:>KeHHe - Jie:>Ka Ha CllHHe. Jlyq HanpaBJieH no,n yrnoM 20° , KaK nOKaJaHO Ha pHCYHKe.

Bo3bMHTe nneHKY Heo6xo.n;HMOH qyscTBHTeJibHOCTH. l.PacnOJIO:>KHTe naU.HHTa, KaK nOKaJaHO Ha pHCYHKe

KacceTa c ycHJIHBalOIUHM 3KpaHOM 200/400 e.n.

PaJMep KacceTbi.

24-30 CM(I0-12 )l;IOHMOB)

0603HaqbTe JieBylO HJIH npasy10 CTOpoHy.

3HaqeHHe Bbl- MAc MAC ,neQ_>KKH

2.IlonpOCHTe nal(HeHTa CWITb cepbm, 3aKOJIKH H .npyrHe

npe.n;MeTbi. 3.Ilono>KHTh no.n ronosy nJIOTHy_

no,nylllKY He Hcnonb3YHTe o6biKHOBeHHYIO

no.nyruKy. 4.QeHTp- o6naCTb nepeHOCHIJ.bi. 5.C.LJ.eJiaHTe CHHMOK.

70KB CHHe'lyscrs. 3eJieHoqyBCTB. 200 e.n. 400 e.n.

Cpe.nHee 100 50 lilKana 63-125 32-63

JlHHH.R yxo-rnaJ.

27

fOJIOBA 3

rOJIOBA. floJIO:>KeHHe- Jie:>Ka Ha cmme. Jlyq HanpasJieH nO)J. yrJIOM 30°, KaK nOKa3aHO Ha pwcyHKe. BoJhMHTe nneHKY Heo6xo.LJ.HMOH qyscTBHTeJihHOCTH. l.PacnoJIO)f(HTe nauHeHTa, KaK noKa3aHo KacceTa c ycHnwsaJOIUHM 3KpaHoM 200/400 e.LJ.. Ha pwcyHKe.

Pa3Mep KacceTbi. 24-30 CM(l0-12 )J.IOHMOB) 0603HalfbTe JieByJO HJIH npasyJO CTOpOHy.

3HalfeHHe Bbl- MAc MAC )J.ep)f(KH

70 KB CwHelfyBcTB. 3eJieHOlfyBCTB. 200 e.LJ.. 400 e.LJ..

Cpe.LJ.Hee 80 40 llJKana 63-100 32-50

28

2.TionpocwTe nauweHTa CH~Tb cephm, JaKoJIKH H .LJ.pyme npe)J.MeTbi.

3.TIO.LJ. fOJIOBOH nauweHTa )J.OJI:>KHa HaXO.LJ.HTC~

neHOnJiaCTOBa~ q>HKCHpyJOIU~ no.LJ.ylllKa. 4.l(eHTP- 7-8CM OT 6J1aCTH nepeHOCHUhi. 5.C)J.eJiaihe CHHMOK.

JlHHH~ yxo-ma3.

fOJIOBA4

JiOKOBOH CHHMOK 'tepena. Jlyq HanpaBJieH ropH30HTaJibHO.

Bo3bMHTe nneHKY Heo6xo.UHMOH '-lYBCTBHTeJibHOCTH. Kaccera c ycHJUfBaiOW.HM 3KpaHOM 200/400 e.n.

Pa3Mep KacceThl. 24-30 CM(l0-12 )liOHMOB) 0603Hai.JbTe JieByiO HJIH npasy10 CTOpOHy, Heo6XO)J;HMYIO )lJUI CHHMKa.

3HalfeHHe Bhl- MAc MAC ,nep)l(KH 70KB CimeqyBCTB. 3eJieHOlfYBCTB.

200 e.n. 400 e.n. Cpe.nHee 32 16 lllKarra 25-40 12.5-20

29

1.PacnoJIO)l(HTe nauHeHTa, KaK noKa3aHo Ha pHCYHKe.

2.fionpoCHTe nauHeHTa CHSITh cephrH, 33KOJIKH. 3.fiO)l roJIOBOH nauHeHT3 )1;0Jl)l(H3 HaXO)J;HTCSI

neHonnaCTOBaSI cpHKCHpYIOI.l.lrul no.uyrnKa. 4.YCJIOBHO npOBe)lHTe JIHHHIO OT KpaSI rmna

qepe3 yxo, nepneH.UHKynSipHo K crony. 5 J.J;eHrp, KaK nOK33aHO Ha pHCYHKe. 6.C.uenaiiTe CHHMOK.

JlHHH,. yxo-ma3.

rOJIOBA 5

CHHYCbl. DOJIY AKCHAJibHbiH CHHMOK JIHU.A - PA. IlpwMeHsreTC'I TOJibKO npw L(warHOCTWKH cwHycos. He aKTy~eH B so3pacTe .no 7 neT ( cHHYCbi He pa3BHTbi).

Bo3bMHTe nneHey Heo6xo,nHMOH qyscTBwTeJibHOCTH Kaccera c ycHJIHBaiOIUWM 3KpaHOM 200/400 e.n.

Pa3Mep KacceTbi. 18-24 CM(8-IO .l{IOHMOB) 24-30 CM( 1 0-12 .l{IOHMOB) 06o3HalfbTe nesy10 HJIH npasy10 CTopoHy.

3Hal.JeHHe Bbl- MAC MAC .nep)I(!(H. 80KB CwHel.fyscTB. 3eneHOlJYBCTB.

200 e.n. 400/450 e.n. Cpe,nHee 63 25 illKana 50-80 20-32

l.Pacnono:>~mTe nai.J.HeHTa. 2.IlonpocwTe naQHeHTa CHSITb cepbrH, 3aKOJIKH

11 .npyme npe,nMeTbi.

30

3 .IlonpocwTe naQHeHTa wwpoKo OTKpbtTb poT 11

HaKJIOHHTe ronosy Ha3a,n, no.n yronoM 45°. 4J..{eHTP, KaK nOKa3aHO Ha pHCYHKe. 5.CL(eJiaHTe CHHMOK.

t t

r rr r

L Ll L

fOJIOBA 6

CHHYCLI. CHHMOK JIHIJ,EBOH OliJIACTH rOJIOBLI- PA. Ecml spaq Tpe6yeT TOJihKO CHHMOK CHHYCOB, CMOTpHTe pa3,uen (f0JI08A 5).

803hMHTe nneHKY He06XO.llHMOH liYBCTBHTeJibHOCTH l.PacnonmKHTe nauHeHTa. KacceTa c ycHJIHBalOIUHM 3KpauoM 200/400 e.u. 2.llonpocHTe nau.HeHTa CIDITh cepLrH, JaKOJIKH

Pa3Mep KacceThi. 18-24 CM(8-1 0 .lllOHMOB) 24-30 CM(l0-12 ,UlOHMOB) 06o3HatibTe nesyfO HJIH npasyfO CTopouy.

3uaqeuHe BLI- MAC ,uep)I(KH. 80 KB CHHelfyscTB.

200 e.u. Cpe.uuee 50 lllK.aiia 40-63

MAC

H .upyrHe npe.nMeTLI. 3.JlHHHjJ npOBO.llHTCjJ OT yxa qepe3 HH)I(HHH Kpaii

rJia3HHUhl, nepneH.UHKYJijJ:pHO K KaCCeTO·,llep)l(aTeJllO.

4.QenTp uanpasneu K nepeuocHue, Me)l(_uy rna3. 5 C.uenaiiTe CHHMOK.

3eneHOlfYBCTB. 400/450 e.u.

20 16-25

r r 1

fopH30HTaJibH3jl JIHHHjJ Me)l(.llY HH)I(HHM KpaeM op6HThl H YXOM.

31

fOJIOBA 7 ··--------------------------------------------------------------------------------------

CIIHYChl, JIIIUO If KOCTII HOCA. 11CCJie,llOBaHHe He IIpOBO)J,HTC.H )J,eT.HM B B03paCTe )1,0 7 neT, KpOMe cnyqaes TpaBMbl HJIH IIO,ll03peHHH Ha

onyxonb. Bo3bMHTe nneHKY Heo6xonHMoif qyscTBHTenbHOCTH KacceTa c ycHJIHBaiDU{HM 3KpaHOM I 00/200/400 en.

Pa3Mep KaCCeThi. 18-24 CM(8-] 0 ,lliDHMOB) 24-30 CM(l0-12 )J.IOHMOB)

3Ha'leHHe Bbl- MAC nep:>KKH. 80 KB CHHe'llyBCTB.

200 e.n.. CpenHee 12.5 Hoc 53 KB CHHe'lyacTa.

200 en. lliKana 4

MAC

3eneHO'IYBCTB. 400/450 eJJ..

5 3eJieHO'IYBCTB.

100/63 en. 8

1.PacnoJIO)I(HTe nauHeHTa. 2.f1onpOCHTe nauHeHTa CH.R:Tb cephrH, 3aKOJIKH

H .n.pyrHe npenMeThl. 3.ITpasa.H cTOpoHa ronoBhl npH)I(aTa K KacceTO

.nep)l(aTeJIIO.

32

4.l.J.eHrp, KaK IIOKa3aHO Ha pHCYHKe. S.CnenaifTe CHHMOK.

r

L

r

L

r r r

r

.., ..,

rOJIOBA 8

HH:IKIDUI liEJIIOCTh- PA.

Bo3hMHTe nneHKY Heo6xo.n:uMoH ttyacTBHTeJII>HOCTH KacceTa c ycunusaiOW.HM 3KpaHOM 200/400 e.n:.

Pa3Mep Kaccenl. 24-30 CM(l0-12 Jl:IOHMOB) 06o3HattbTe nesyro HJIH rrpaayro cTopoHy.

3Hal.JeHHe Bbl- CuHet.IyBcTB. 3eneHOtiYBCTB. ,nep:>KKH 200 e.n:. 400 e.n:. 70KB 63MAC 32MAC

l.PacrronmKHTe rrau:ueHTa. 2.norrpocuTe nauueHTa CH~Tb cephrH, 3aKOJIKH

:u .n:pyrue rrpe.nMeTbJ. 3.llOIIpOCHTe rrauueHTa WHpOKO OTKpbiTb pOT. JlHHH~ yxo-rJia3 IIpOXOJl:HT IIO.U IIp~MbiM yrJIOM K KacceTo-.uep:>KaTeJIIO.

4.~eHTP, KaK IIOKa3aHO Ha pHCYHKe. 5. C.uenaHTe CHHMOK.

r

33

r rr r

fOJJOBA 9

HHJKH.H.sl 'IEJIIOCTh. CHHMOK 6oKOM. Jlyq HanpasneH no.n yrnoM 15°. Bo3bMHTe nneHKY Heo6xo.nHMOH qysCTBHTenhHOCTH l .Pacnono)f<HTe nauHeHTa. KacceTa c ycrmHBalOIUHM 3KpaHOM 200/400 e.n. 2.nonpocHTe nauHeHTa cH»Tb cephrH, 3aKonKH

H .L{pyrHe npe.nMeThJ. 3.PeHTreHOBCKa» Tpy6Ka pacnOJIO)KeHa no,n

ymoM 15°. 4. ronosa no.n yrnoM 15°, nneqo H Pa3Mep KacceTbr.

18-24 CM (8-10 ,nlOHMOB) 06o3HalfhTe nesy10 HJIH npasy10 CTopoHy.

3Half.CHHe Bbl- CHHel.fyscTs. 3eneHOt.tyBCTB. ,nep)KKH. 200 e.L{. 400 e.n.

70KB 12.5 MAC 6.3 MAC

ronosa npH)KaThi K KacceTo-.nep)KaTemo. S.YcTaHOBHTe ueHrp.

6 C,nenaHTe CHHMOK.

r r

r r r

r

L L

34

fOJIOBA 10

HHJKIUI.SI qEJIIOCTh. Jlyq HanpasneH no.u yrnoM 30°.

Bo3bMHTe nneHKY Heo6xo.uHMoi-l l.IYBCTBHTeJibHOCTH KacceTa c ycHnHsaJOIUHM 3KpaHOM 200/400 e.u.

PaJMep KacceThi. 24-30 CM( 10-12 .ZUOHMOB)

0603Ha'1bTe nesyJO HJlH npasyJO CTOpOHY.

3Hal.leHHe Bhl- CwHe'1yscTB. 3eneH0'1YBCTB. ,Llep)f(KH. 200 e.n. 400 e.u.

70 KB 63 MA 32MA

l.PacnonO)f(HTe nauHeHTa. 2.flonpOCHTe nauHeHTa CH~Th cepbrH, 3aKOJ1KH

H .upyme npe.uMeTbi. 3.flonpOCHTe nauHeHTa WHpOKO OTKpbiTb pOT.

EcnH nauHeHT He MO)f(eT .uep)f(aTb poT OTKpbiTbiM BCTaBbTe Me)f(,lly 3y6aMH KnHH H3 M$1TKOfO

MaTepHana HnH npo6Kosoro .uepesa.

4.l.l,eHTp - KaK llOKa3aHO Ha pHCYHKe. 5.flocne CHHMKa BbiHbTe KJlHH .

35

fOJIOBA 11

HlliKHJUI qEJIIOCTb. CHHMOK 6oKOM. Jly tt HanpaBneH no.u yrnoM 15°.

Bo3bMHTe nneHKY Heo6xo,uHMOH ttyBCTBHTenbHOCTH KacceTa c ycHnHBaiOIUHM 3KpaHoM 200/400 e,u.

PaJMep KacceTbi.

18-24 CM(8-10 ,UIOHMOB)

06oJHattbTe nesyro HnH npaayro cTopoHy.

3HatteHHe Bbl- CHHettyscTB. 3eneHOttyBCTB. ,llep)KKH. 200 e.u. 400 e.u.

70KB 12.5 MAc 6.3 MAC

..

1.PacnonO)KHTe nauHeHTa. 2.f1onpOCHTe naQHeHTa CHj{Tb

cepbrH, 3aKOflKH H .upyrHe npe,uMeTbi.

3.PeHTreHOBCKaj{ Tpy6Ka- no,u yrnoM 15°.

4.HaKnOHHTe ronoBy nauHeHTa Ha 15°, KaK Ha

pHCYHKe. 5.YcTaHOBHTe ueHTp. 6.C,uenaifTe CHHMOK.

36

II03BOHOqHHK I

rPY.LJ:HhiE 1103BOHKH - PA HJJH AP.

Bo3bMHTe rrneHKY ueo6xo.nnMoii ttyBCTBHTeJlbHOCTH. KacceTa c ycnnnsaromnM 3KpaHoM 200/400 e.II..

Pa3Mep KacceThl. 18-24 CM(8-J 0 JllOHMOB) 06o3HatthTe nesyro nnn npasyro CTopoHy.

13HatfeHHe Bbl- MAC MAC .nep)I(KH

70KB CnueqyscTB. 3eneHOtfYBCTB. 200 e.n. 400 e.n.

Cpe.nuee 25 12.5 lliKana 20-50 10-25

l.Pacrrono)I(HTe naimeHTa. 2.llonpOCHTe rrauHeHTa CHSITb JIHWHHe

npe.II.MeThi. 3.HH)I(HH Kpaif 3aTbiJ10lJHOH KOCTH J];QJI)I(eH

6biTb Ha OJ];HOM ypOBHe C rro.n6opo.a;KOM. 4.llorrpocnTe rrauHeHTa 3a.nep)l(aTb JlbiXaHHe. 5.C,lleJiaHTe CHHMOK. Pa3peiiiHTe nauneHzy

)lbJIIIaTb.

r r

r r r

r

qemOCTb 3aTbiJ10ttHaSI o6naCTb ttepena

37

rPY.ll:HhiE D03BOHKU. CHHMOK 6oKOM.

B03bMHTe nneHKY ueo6xon.HMOH qyscTBHTeJibHOCTH. Kaccera c ycHJIHBaiOIUHM 3KpaHOM 200/400 en..

PaJMep KacceThi. 18-24 CM(8-10 .D.IOHMOB)

r--3Ha'!eHHe Bbl- MAC MAC ,Uep)KKH.

l.PacnonmKHTe nauHeHTa. 2.DonpocHTe nauHeHTa CHJITh JIHWHHe npen.MeTbi c

weH. 3.fiJie'IH ,D.OJDKHbl 6biTb onymeHhi,KaK MO)KHO HH

)Ke. EcnH nauHeHT He TpaBMHposaH, BJIO)KHTe s Ka)K.D.YIO PYKY npen.MeThi Maccoi1 1 Kr.

4.DonpocHTe nauneHTa 3an.ep)f(8Tb .D.biXaHne. 5.C,nenaihe CHHMOK. Pa3pelliHTe nauHeHTy ,Ubi~

lll8Tb.

70KB CHHe'!yBCTB. 3eJieHO'!yBCTB. 200e.u. 400 e.u.

Cpe.uHee 25 12.5 lliKana 20-50 10-25

r r

L

38

II03BOHQqHI1K 3

rPY,L(HbiE 003BOHKH. 0630pHbiH CHHMOK. He pa3pewaeTC51 npOBO.l{HTb HCCne)J.OBaHHe .IJ.eT51M.

Bo3hMHTe nnenKy neo6xo.LJ.HMoi:f qyacTBHTenhHOCTH. KacceTa c ycHnHBaiOW.HM 3KpaHoM 200/400 e.LJ..

I .PacnonmKHTe nauHeHTa. 2.IJonpOCHTe nauHeHTa CH51Tb flHlliHHe npe.l{MeTbl.

3.IToaepHHTe nauHeHTa Ha 45° K KacceTO-.LJ.ep)l(a-

Pa3Mep KacceTbi. 18-24 CM(8-1 0 )J.IOHMOB) 06o3Hat.JbTe neay10 HnH npaay10 cTopoHy.

3HatieHHe Bhl- MAC )J.ep)f(KH.

70KB CHneqyscra. 200 e.LJ..

Cpe.LJ.Hee 25 lliKana 20-50

Temo. 4.ITonpoCHTe nau:HenTa Ja.l{ep)f(aTb .D.bixanHe.

5.C.LJ.enai:fTe CHHMOK.

MAC

6.Pa.JBepHHTe nauHeHTa Ha .LJ.pyryiO CTOpOHY H nOBTOpHTe CHHMOK.

3eneHOI.JYBCTB. 400 e.l{.

12.5 10-25

39

ll03BOHOqHHK 4 ~--------------------------------------------------------------------------------------

rPY,li;HhiE ll03BOHKII. Hccne):(oBaHue nposo):(HTC.SI nocne TpaBMhl.

Bo3hMHTe nneHKY Heo6xo~HMOH qyscTBHTelihHOCTH. Kaccera c ycunusaiOJllHM JKpaHOM 200/400 e~ ..

1.PacnonoJKuTe nauueHTa. 2.lloMoruTe nauueHTY CH.SITh liHIIIHUe npe,nMeTbi

Pa3Mep KacceTbi. 24-30 CM(l0-12 ):(IOHMOB) 18-24 CM(8-1 0 ):(IOHMOB) ):(li.SI ):(eTeH. 0603HaqhTe lieByiO UliU npasy10 CTOpOHY.

3HaqeHue Bhi- MAC ,nepJKKU.

70 KB CuHeqyscTB. 200 e):(.

Cpe,nHee 25 lliKana 20-50

MAC

rneu. 3.QeH1'p, KaK ITOKa3aHO Ha puCyHKe. 4.llonpocuTe nauueHTa Ja):(epJKaTb ):(hiXaHue.

5.C,nenaifTe CHUMOK. 6.Pa3pernuTe nauueHzy ):(hilliaTb.

3eJJeHoqyBCTB. 400 e,n. 12.5

10-25

40

ll03BOHQqHHK 5

l.Pacnono>KMTe nauMenTa. ECJJH ecn. no,llo3penHe ua nepeJioM, DO.ll.lma.ll.biBaTb DO.llYWKY DO.ll rOJIOBY

nauHeHTa HeJib3H Oe3 pa3pemeHHH naM-

2.CHMMMTe C WeM IIaUMeHTa JHIWHMe npe.n:MeTbl. 3.fonosa .n:on>KHa 6LITL B nono>KeHHH, rrpu

spa'la.

Bo3hMHTe nnenKy ueo6xo.unMoH qyscTBHTenLHOCTH. KacceTa c ycHJmBalOW.HM 3KpanoM 200/400 e.u.

PaJMep KacceThi. 24-30 CM(l 0-12 ,lllOHMOB)

3HatJeHMe Bbl- MAC MAC ,llep>KKH.

MeHLweM 6onesoM 3<fl<fleKTe .una rrauneHTa. PyKH .uon>KHbi 6LITL onyw.eHbi HH>Ke nnetJ.

4.TiorrpocMTe rrauuenTa Ja.uep>KaTL .ULixanMe. UenTp, KaK noKaJaHo Ha pHcynKe.

5.C.uenaHTe CHHMOK. 6.Pa3peWMTe nauHeHTY ,llbiWaTb.

r 70KB CnnetJyscTs. 3eJieHOtJYBCTB.

200 e.u. 400 e.u. Cpe)lUee 25 12.5 lliKana 16-63 8-32

I<;f>MMeHTapHH. Penueu-na6opaHT, uaxo.uaw.nilca pa.uoM c nauMeHTOM so speMa CHHMKa, ,llOn>KeH 6biTb O,lleT B 3aJ..QHTHbiH <flapTyK M 3allJ,HTHbie neptiaTKH.

4]

.,

fi03BOHQqHHK 6 ~--------------------------------------------------------------------------------------

O,ll;OHTOH,ll,HhiH llPOI(ECC- AP. Jlyq HanpaBJieH no.n yrnoM 10°.

Bo3LMHTe nneHKY Heo6xo.nHMOH qyaCTBHTenLHOCTH. KacceTa c ycHnHaawmuM 3KpaHOM 200/400 e.n.

PaJMep KacceTLI. 18-24 CM(8-1 0 ,niOHMOB) 06o3Ha'iLTe nesyw HnH npasyw CTopoHy.

3Ha'ieHHe Bbl- MAC MAC .uep)f(KH.

1 .PacnonO)I.(HTe nauueHTa. 2.TiorrpoCHTe naQHeHTa CHUL nHillHHe npe,nMeTLI

c IlleH. 3.TiorrpOCHTe naQHeHTa IllHpOKO OTKp.blTb pOT.

EcnH rraQHeHT He MO)I.(eT OTKpblTL pOT, BCTaB.bTe eMy a poT KnHH H3 wrrKoro .nepesa.

4.TiorrpocuTe rrauneHTa Ja,nep)f(aT& ,n&IxaHHe. 5.C.nenaihe CHHMOK. Pa3pelllHTe rrauHeHTY ,nLI

IllaTL. BbiHbTe KnHH H30 pTa.

70KB CuHe'iyBCTB. 3eneHO'iYBCTB. 200 e.n. 400 e.n.

Cpe.nHee 40 20 lllKana 20-80 12.5-32

·.

42

O):(OHTOH)J;HhiH DPOQECC- AP. Jlytt HanpasneH no.r. yrnoM 10°.

Bo3bMHTe nJieHKY Heo6xo.QHMOH ttyBCTBHTeJibHOCTH. KacceTa c ycHJIHBaiOIUHM 3KpaHOM 200/400 e.Q.

Pa3Mep KacceTbl. 18-24 CM(8-10 .QIOHMOB) 0603HatibTe JieByiO HJIH npasyiO CTOpoHy.

3HatteHHe Bhl- MAC MAC .nep>KKH.

l.PacnoJIO>KHTe nauHeHTa. 2.llonpOCHTe nauHeHTa CHUb JIHillHHe npe,ll.MeTbl

c IlleH. 3.llonpOCHTe nauHeHTa liiHpOKO OTKpbiTb pOT.

EcJIH nauHeHT He MO>KeT OTKpbiTh pOT, BCTaBbTe eMy B poT KJIHH H3 MHrKoro .nepesa.

4.IIonpoCHTe nauHeHTa 3a.Qep>KaTb .ll.hiXaHHe. 5.C,ll.eJiaHTe CHHMOK. Pa3pelllHTe nauHeHry ,ll.bl

Ill3Tb. BbiHbTe KJIHH H30 pTa.

70 KB CJ.mettyacTB. 3eJieHOtiYBCTB. 200 e.n. 400e.n.

Cpe.nHee 40 20 illKana 20-80 12.5-32

43

I103BOHO~I1K 7

IUEHHLIH OT,l(EJI. CHHMOK 60KOM.

Bo3bMHTe nJieHKY Heo6xo.D.HMon ttyscTBHTeJibHOCTH. KacceTa c ycHJIHBatOW.HM 3KpaHoM 200 e.LJ..

Pa3Mep KacceTLI. 24-30 CM(10-12 )J.IOHMOB)

3HatteHHe Bbl- MAC MAC )J.ep:>KKH.

80 KB CHHe"lyacTB. 3eJieHOttyBCTB. 200 e.LJ.. 400/450 e.LJ..

Cpe.D.Hee 100 50 illKaJJa 50-160 25-80

1. Y CTaHOBHTe nauHeHTa. 2.f103HUH11 nauHeHTa, KaK llOKa3aHo Ha pHCYHKe.

3.ITonpocHTe nauHeHTa 3anep:>KaTb .llbiXaHHe. 4.YCTaHOBHTe UeHrp, C,ZJ,eJiaUTe CHHMOK.

44

5.Pa3peiiiHTe nauHeHTY )J.LJIIIaTb.

r r

rPY.lJ:HbiE U03BOHKH.

803bMHTe nneHKY He06XO.l(HMOH t~yBCTBHTeJibHOCTH. KacceTa c ycHJIHBaJOlli.HM 3KpanoM 200 e.n:.

}, Y CT3HOBHTe nauHeHT3. 2.TI03HUH~ nauHeHTa, KaK Ha

pHCYHKe. Pa3Mep KacceTbi.

18-4 3 CM(7 -1 7 ,ZJ,IOHMOB)

3.YCTaHOBHTe ueHT}J, nonpOCHTe nauHenTa 3a.uep:lKaTb .UblxanHe.

4.C.uenaifTe CHHMOK. 0603nat~bTe nesy10 HJIH npasy10 CTopony. 5.Pa3peumTe nauHeHTY .llbilllaTb.

3nat~eHHe Bbi- MAC MAC .nep:lKKH.

70KB CHnet~yBCTB. 3enenot~ysCTs.

200 e.n. 400 en. Cpe.unee 80 40 lliKana 63-200 I 32-100 .

45

rPY,lJ;HhiE rro3BOHKH. CHnMoK 6oKoM.

Bo3bMHTe nneHKY Heo6xo.uuMoH. qyscTBHTe.llbHOCTH. KacceTa c ycH.IlHBaiOlllHM 3KpaHoM 200/400 e.u.

PaJMep KacceTbJ. 18-43 CM(7-17 .lliOHMOB)

3HatieHHe Bbl- MAC MAc ,n;ep)KKH.

l.Pacno.llO)KHTe nauHeHTa. 2.COrHHTe KO.IleHH nauueHTa ,llml CTa6H.IlbHOfO

nono)KeHHjl rynosHma. JlHHHjl no3BOHOtiHoro CTO.Il6a ,D;O.Il)KHa 6b1Tb ropH30HTa.llbHOH.

3.YCT8HOBHTe QeHTP. 4.C..UeJiaHTe CHHMOK, .llbiX8HHe nauHeHTa

06bltiHOe.

70KB CHueqyacTB. 3eJieHOtiYBCTB. 200 e..u. 400 e..u.

Cpe..uHee 160 80 lliKana 40-200 32-160

46

ll03BOHQqHJ1K I 0

II0$1CHHqHLIU OT)J;EJI - AP HJlH PA.

Bo3hMHTe nneHKY Heo6xo.IJ.HMOH qyncTBHTenhHOCTH. KacceTa c ycHnHBaiOw,HM 3KpaHOM 200 /400 e.IJ..

l.Pacnono:>KHTe nal.(HeHTa, KaK noKaJaHo Ha pHCYHKe.

PaJMep KacceTbi. 18-43 CM(7-17 .D.IOHMOB) 0603HallbTe JleByiO HJIH npanyiO CTOpOHy.

3HalleHHe Bbi- MAC )J.ei))((KH.

70KB CHHeqyncTB. 200 e)]..

Cpe)J.Hee 100 IIIKana 50-160

MAC

2.CorHHTe HOrH nauHeHTa TaK, liTOfibi CnHHa nnOTHO npHnerana K CTOJly.

3.ITonpocHTe nauHeHTa 3a.D.ep)((aTb )J.hiXaHHe. 4.C)J.eJ1aHTe CHHMOK. Pa3pe11IHTe nauHeHTY

)J.biillaTb.

3eneHOliYBCTB. 400 e.IJ.. 50

25-80

47

TI03BOHOtiHHK 11 '

llO.HCHU-qHhiH OT.ll.EJI. CHHMOK 6oKoM. llpu no.uo3peHHH Ha nepenoM.

Bo3bMHTe nneHKY Heo6xo.uuMOH qyacTBHTeJibHOCTH. KacceTa c ycunuaaiOIUHM 3KpaHoM 200/400 e.u.

PaJMep KacceThl. 18-4 3 CM(7 -17 .lliOHMOB)

3HatieHHe Bbl- MAc cpe.aHee 3HatieHHe .aep:>KKH.

KB CuHeqyscTB. 3eJieHOtiYBCTB. 200 e.u. 400/450/500 e.u.

80 - 100(50-200) ' 90 160(100-250) (160-250)

120 ( 125-250) -

l.Pacnono:>KHTe rrauueHTa. 2.COrHHTe KOJieHH nauHeHTa, qT06bi 3aQJHKCH

poBaTb UOJIO:>KeHHe TeJia. 3 .florrpOCHTe nauHeHTa B.llOXHYTb H Ja.aep:>KaTb

.llbiXaHue. C.uenai1Te CHHMOK. 4.Pa3peiiiHTe nauHeHTY .llbiiiiaTb.

48

TI03BOHOqHJ1K 12

DO.HCHHlJ:HbiH OT.L{EJI. CHu:MoK 6oKoM. Ilocne -rpasMLI.

Bo3bMHTe nneHKY Heo6xo.uu:MoH: t~yBCTBHTeJibHOcTu:. KacceTa c ycu:JIHBaiOI..I.lHM 3KpaHoM 200/400 e.u.

l .PacrroJIO)I(HTe nauHeHTa. 2. Y CTaHOBU:Te UeH-rp, KaK Ha pu:cyHKe.

3.IIonpocHTe rrauHeHTa 3a,uep)l(aTb .n;biXaHHe. 4.C,uenaH:Te CHHMOK. Pa3Mep KacceTbi.

18-43 CM(7 -17 .UIOHMOB) HJIU: 20-40 CM 5.Pa3peumTe nauHeHTY .UbiiiiaTb.

3Hat~eHHe Bbl- MAc cpe.uHee 3Hat~eHHe ,uep)I(KH.

KB CHHet~yscTB. 3eJieHOt~yBCTB.

200 e.n;. 400/450/500 e.u. 80 - 100(50-200) 90 160(100-250) (160-250) r

120 (125-250) -

49

I103BOHQqHHK 13

UO.JICHHliHO-KPECTIJ.OBhiH OT~EJI- AP. Jlyq HanpasneH no.n:yrnoM 15°. TaKoe Hccne.n;osaHHe He npoBOAHTcg .n:eTgM.

803bMHTe nneHKY Heo6XOAHMOH 'IYBCTBHTenbHOCTH. Kaccera c ycHnHBaiOLI.lHM 3KpaHOM 200/400 e.n:.

Pa3Mep KacceTbi. 24-30 CM(l0-12 ,l{IOHMOB) 06o3Ha'lbTe nesyw HnH npasyw cTopoHy.

3HalleHHe Bbl- MAc .o:ep)KKH.

l.PacnonmKHTe nauHeHTa. 2.QeHrp- 3 CM Ha.n; CHM~H30M.

3.Tpy6Ka liYTb no.n; yrnoM K pyKe naQHeHTa. 4.C.n;enaH:Te CHHMOK.

MAC I

70K8 CHHeqyscrs. 3eneHO'IYBCTB. 200 e.o:. 400 e.o:.

Cpe.o:Hee 125 63 liiKa.Jia 80-250 40-125

-

50

1103BOHOl!HMK 14

DO.SICHH'IHO-KPECTI(OBhiH OT,llEJI. CHHMOK 60KOM. TaKoe HCCJie,noaaHHe He nposo.z:tHTCH.z:teTHM.

Bo3bMHTe nJieHKY Heo6xo.z:tHMoH: qyacTBHTenbHOCTH. KacceTa c ycHnHBaiOIUHM 3KpaHOM 200/400 e.n.

PaJMep KacceTbi. 24-30 CM(10-12 ,z:tiOHMOB)

3Ha'!eHHe Bhl- MAc cpe.nHee 3HaqeHHe ,llepJKKH.

1.Pacnono>KHTe nauHeHTa. 2.COrHHTe KOJleHH nauHeHTa, t{T06bJ 3aqmKCH

pOBaTb nonoJKeHHe Tena. I.J;eHT})- 3 CM HHJKe KpecTua.

3.IlonpocHTe nauHeHTa Ja,nepJKan .llbJXaHHe. 4.C.aenaif:Te CHHMOK. PaJpeUIHTe nauHeHTY

.!lbiW3Tb.

KB CHHeqyacTB. 3eJieHO'IYBCTB. 200 e.n. 400/500 e.n.

90 (100-250) 125(50-250) 125 125(125-250) ( 125-160)

51

PYKA 1

KJIIOqHUA - AP. Hanpasnemte nyqa sapbHpyeTc.R OT +20° .ZJ.O -20°. )],sa BH.ZJ,a.

BoJbMHTe nneHKY Heo6xo.ZJ,HMOH qyscTBHTenbHOCTH. KacceTa c ycHnHsaiOUJ,HM )KpaHoM 200/400 e.ZJ,. ilpH CHHMKe pe6eHKa, KaCCeTa HaXO.ll,HTC$1. Ha CTOJle.

PaJMep KacceThi. 24-30 CM( 1 0-12 .ll,IOHMOB) 18-24 CM(8-1 0 .ll,IOHMOB) 0603Ha'lbTe 11esy10 HJlH npasy10 CTOpOHy.

3Ha'leHHe Bhl- MAC .ZJ,ep>KKH.

70KB CHHe'lyBCTB. 200 e.ZJ..

Cpe.ZJ,Hee 25 lliKana 20-50 .ll,eTH 53 KB CHHet:tyscTs.

MAC

3eneHot:tyBCTB. 400 e.ZJ.. 12.5 10-25

3eJieHOt:tyBCTB.

1.PacnonmKHTe nau.HeHTa. 2.HanpaBbTe peHTreHOBCKyiO Tpy6Ky no.ZJ,

He06XO.ZJ,HMbiM yrnOM. 3.YcTaHOBHTe U.eHTp. 4.C.ZJ,enaifTe CHHMOK.

5.iloMeH$1.HTe Kaccery H yron HanpasneHH$1. Tpy6KH, C.ZJ,enaifTe nOBTOpHbiH CHHMOK.

200 e.ZJ.. 400/250 e.ZJ.. Cpe.ZJ,Hee 6.3 5

[(eHTp- cepe.ZJ.HHa KJIIO'IHIJ;hi.

52

PYKA2

Bo3bMHTe nneuKy ueo6xo.nHMOM 'iYBCTBHTeJibHOCTH. KacceTa c ycHJIHBSJOIUHM 3KpauoM 200/400 e.n. npH BbinOJIHeHHH CHHMKS y ,lJ.eTeM, KSCCeTa H8XO,LJ.HTCjl Ha CTOJie.

Pa3Mep KSCCeTbl. 24-30 CM(l0-12 .UJOMMOB) 18-24 CM(8-1 0 .llJOMMOB) )J.JISI ,lJ.eTeM 06o3HS'ibTe nesyJO HJIH npasyJO CTopouy.

3uaqeuHe Bbl- MAC ,llep)I(KH.

70 KB CHueqyscTs. 200 e.n.

Cpe.nuee 25 lllKana 20-50 ,[(eTH 53 KB CHHe'iyscTB.

200 e.n.. Cpe.n.uee 6.3

MAc

3eJieHOliYBYCTB. 400 e.n.. 12.5 10-25

3eJieHO'IYBCTB. 400/250 e.u.

5

53

l.PacnoJIO)I(HTe nauHenTa. 2.noJIO)I(HTe no.u;yiiiKY no.u; .u;pyryJO KJIJO'IHUY· 3.C.u;eJiaHTe CHHMOK.

PYKA3

UPE,LI:UJIElJLE. CHHMOK 6oKOM. Mccne.n;oaaHHe He BhinOJIWieTC}I)l;eT}IM .n;o 10 neT.

Bo3LMHTe nneHKY Heo6xo.n;HMOH qyacTBHTenLHOCTH. Kaccera c ycHnHBaJOm:HM 3KpaHoM 200/400 e.n;.

PaJMep KacceTLI. 24-30 CM(l0-12 J(IOHMOB) 0603HaqLTe JieByiO HJIH npaByFO CTOpOHy.

3HaqeHHe Bhl- MAC .n;ep)((KH.

70KB CHHeqyscrs. 200 e.n;.

Cpe.n;Hee 50 lliKaJia 40-125

., 'l , ,

MAC

3eneHOqyBCTB.

, ,

400 e.n;. 25 20-64

1.PacnoJIO)((HTe naQHeHTa. 2.3aJIO)((HTe pyKy nauHeHra 3a ronoay .n;o

rex nop, noKa OH He noqyacrsyer 6onL. CMOTpHTe aJihTepHaTHBHYIO no3HQHIO, Kor.n;a

pyKa onym:eHa. 3.C.n;enaure CHHMOK.

54

PYKA4

DJIEIJO- AP- .nsa BH,na. PeHTreHOBCKM Ypy6Ka HanpasneHa no.n yrnoM 10°.

Bo3bMHTe nneHKY Heo6xo,nHMOH qyscTBHTeJibHOCTH. KacceTa c ycHJ1HBaiOil.lHM 3KpaHOM 200/400 e.n.

1.PacnoJIO)I(HTe nal.\MeHTa. 2.lloJIO)I(HTe no,nyiiiKY no.n .npyroe nneqo.

fiJietiO naQHeHTa ,AOJI)I(HO llJ10THO npHJieraTb K cTony. llosepHHTe PYKY KHCTbiO ssepx.

3.YCTaHOBHTe 1.\eHYp.

llpH HCCJie,li;OBaHHH ,neTeH, KaCCeTa HaXO,AHTCSI Ha CTOJ1e.

PaJMep KacceTbi. 24-30 CM(10-12 ,AIOHMOB) 18-24 CM(8-1 0 ,AIOHMOB) ,AJISI ,neTeH 0603Ha'lbTe JieByiO HJIH npaByiO CTOpoHy.

3HatieHHe Bbl,ne )I(KH.

70KB

C e.nHee lliKana ,lJ;eTH 53 KB

lliKana

MAc

CMHeqyscrs. 200 e.n 12.5

10-25 CHHe'llyscTB.

200 e.n. 4

PyKa KHCTbiO BHH3.

4.C,nenaihe CHHMOK, noMeHSJ:HTe Kaccezy. 5.llosepHHTe pyKy KHCTbiO BHH3, c,nenaiiTe

CHHMOK.

MAC

3eneHO'liYBCTB. 400 e.n. 6.3

5-12.5 3eJieHOtiYBCTB.

400/250 e.n. 3.2

'

55

'{\

PyKa KHCTbiO ssepx. ·,

PYKA5

ll.JIEqEBAjf KOCTh - AP. Jle)l(a Ha cnHHe.

Bo3bMHTe nneHKY Heo6xo.uHMoii "~YBCTBHTeJibHOCTH. KacceTa c ycHJIHBaromHM 3KpaHOM 200/400 e.u.

llpH HCCJie)lOBaHHH )leTeH, KaCCeTa HaXO)lHTC11 Ha CTOJie.

Pa3Mep KacceTbi. 18-24 CM(8-10 )J.IOHMOB) 06o3Ha'ibTe JieByiO HJIH npaByiO CTOpOHy.

3Ha'!JeHHe Bbl- MAC MAC )J.ep)I(KH.

l .PacnoJIO)I(HTe nauHeHTa. 2.PacnoJIO)I(HTe pyKy, KaK nOKa3aHo Ha

pHCYHKe. 3.YCTaHOBHTe UeHTp.

4.C.uenaihe CHHMOK.

KB C~oiHe'iyBcTB. 3eJieHO'iYBCTB. 200 e.u. 400/250 e.IJ..

B3pOCJibiH 70 12.5 6.3 Pe6eHoK 53 4 3.2

•.

56

The WHO manual of diagnostic imaging

Radiographic Technique and Projections

RECEIVED IMD

2 0 JAN 2005

Editors

Harald Ostensen M.D.

Holger Pettersson M.D.

Author

Staffan Sandstrom M .D.

In collaboration with

K. Akerman R.T., T. Chakera M.D., P. Corr M.D .. K Eklund R.T. , L. Frostgard R.T. , C. Fy edai-Kastberg R.T., R. Garcia Monaco M.D., R. Gunther M D .. T. Holm M.D.,

V Jackson M.D .• M. Joshi M.D .. P. Palmer M.D., M. Watnick M D.

Published by the World Health Organization in collaboration with the

International Society of Radiology

BCEMIIPHMI OPr AHH3AQIDI 3)1,P ABOOXP AHEHIDI

PYKOBO)J,CTBO ITO~YqEHMR )J,JIArHOCTJiqECKHX

H306P AJKEHHH

PEHTfEHOfPA<DHLIECKI1E ITPOEKIJ}1I1 l1 YKJIA~KH.

KHHfA 2

PYKA6

llJIEqEBAJI KOCTh - AKCHAJibHbiH CHHMOK.

~03bMI1Te ITJieHKy He06XO)J,l1MOH qyBCTBI1TeJibHOCTI1. ~acceTa c ycHJIHBaiOIIJ;HM 3KpaHOM 100/200 e,IJ,.

'a3Mep KacceThi. 8-24 CM(8-1 0 )J,IOHMOB) )603HaqbTe JieByiO 11JII1 rrpaByiO CTOpOHy.

3HaqeHHe Bbi- MAC MAC ,IJ,ep)l{Kl1.

1.PacrronmKHTe rrau,HeHTa. TionmKHTe KacceTy rro,IJ, pyKy Ha BhiCOTe 12-15 cM oT KacceTo

,IJ,ep)l{aTemr.

2.TI0311ll,l15I rraiJ,HeHTa, KaK ITOKa3aHO Ha p11CYHKe 3.YcTaHOBI1Te ll,eHTp. 4.C,IJ,eiiaHTe CHI1MOK.

53 KB CHHeqyBcTB. 3eiieHoqyBCTB. 200 e,IJ,. 400 e,IJ,.

Cpe,IJ,Hee 10 25

57

PYKA 7

IIJIEqo - AP. CHHMOK rrocne T}JaBMbi.

Bo3I>MHTe rrneHKY Heo6xo,[(HMOH qyacTBHTeJII>HOCTH. KacceTa c ycHJIHBaiOw;HM 3KpaHOM 200/400 e,[(.

1.PaCITOJio:>KHTe ITaiU~eHTa, KaK I10Ka3aHO Ha pHI 2.PyKa coreyTa ITO,[( rrpMMbiM yrJIOM.

3.YCTaHOBHTe lleH'I'p. Pa3Mep KacceTI>I. 4.C,[(eJiaiiTe CHHMOK. 24-30 CM(10-12 ,[(IOHMOB) 0603HaqbTe JieByiO HJIH rrpaayiO CTOpOHy.

3HaqeHHe Bbl- MAc MAC ,[(ep)I(KH.

70KB CHHeqyacTB. 3eJieHOtJYBCTB. 200 e):(. 400 e,[(.

Cpe,[(Hee 12.5 6.3 lliKana 10-32 5-16

58

PYKA8

nJIEqo, S:::HHMOK 6oKOM. IIocrre TpaBMhi.

Bo3hMHTe nrreHKY Hco6xo,n:HMoi1 qyscTBI1TeJThHOCTI1.

KacceTa c ycHrrnBaiDW:HM 3KpaHOM 200/400 e,n:.

Pa3Mep KacceThi.

24-30 CM(l0-J2 AIDHMOB)

0603Ha%Te JTCBYIO l1Jll1 I1pasyiO CTOpOHy.

3HaqeHHe Bhi- MAc MAC

,n:ep)f{KH.

I.PacrrorrmKHTe rrau;neHTa.

2.TI0311IJ,l1~ rrau;neHTa, KaK IIOKa3aHO Ha pncyHKe.

3.YCTaHOBHTe u;eHTp.

4.C,n:erraiiTe CHI1MOK.

70 KB CnHeqyscTB. 3erreHoqyBCTB.

200 e,n:. 400 e,n:.

Cpe,n:Hee 32 16 lllKarra 20-50 10-25

59

PYKA9

IIJIEqEB.Aj_[ KOCTh - AP. CHHMOK 6oKoM . .ll:aa BH,ZJ;a. Bo3bMHTe nneHKY Heo6xo,n;HMoii qyBCTBHTeJibHOCTH. 1.PacnoJIO:>KHTe na:u;HeHTa. KacceTa c ycHJIHBaiOI:QHM 3KpaHOM 200/400 e.n;. 2.IloaepHHTe pyKy na:u;HeHTa KHCTbiO BBepx.

Pa3Mep KacceThi. 18-43 CM(7 -17 ,li;IOHMOB) 06o3HaqhTe neayro HJIH npaayro cTopoey.

3HaqeHHe Bbl- MAC ,n;ep:>KKH.

70KB CHHeqyacTB. 200 e.n;.

Cpe,n;Hee 12.5 lliKana 8-16

MAc

3.YcTaHOBHTe :QeHTP. 4.C,n;enaiiTe CHHMOK.

5.IloMeiDiiiTe KacceTy. 6.IloaepHHTe PYKY na:u;HeHTa KHCTbiO BHH3.

7. C,n;enaiiTe CHHMOK.

3eJieHOqyBCTB. 400 e.n;.

6.3 4-8

60

PYKA 10

nJIEqEBA51 KOCTh - AP. CmiMOK nocne TpaBMbl.

303hMIITe nJieHKY Heo6XO,ll,IIMOH 4YBCTBIITeJihHOCTII. CacceTa c ycHJIIIBaiOI_[(IIM 3KpaHOM 200/400 e,LJ,.

l.PacnOJIO)I(IITe nau,HeHTa, KaK OOKa3aHO Ha pHCYHKe. 2.PyKa nau,HeHTa corHyTa no,LJ, np51MhiM yrnoM.

3.Y CTaHOBIITe IJ,eHTp. >a3Mep KacceThi. 4.C,LJ,eJiai:JTe CHIIMOK. 8-43 CM(7-17 ,LJ,IOHMOB) )603Ha4hTe JieByiO IIJIII npasyiO CTOpOHy.

3Ha4eHIIe Bhl- MAC MAC ,LJ,ep)I{KII.

70 KB CHHeqyscTB. 3eneH04YBCTB. 200 e,LJ,. 400 e,LJ,.

Cpe,LJ,Hee 12.5 6.3 illKana 8-16 4-8

!

L

61

PYKA 11

IIJIEqEBA51 KOCTh. CHHMOK 6oKoM. llocne rpasMI:.I.

Bo3bMMTe rmeHKY Heo6xo,n;MMoif qyscTBMTeJII:.HOCTH. KacceTa c ycmmsaiOrn;MM 3KpaHoM 200/400 e,n;.

1.Pacrrorro:>KMTe rra~MeHTa. 2.ll03H~IDI rra~MeHTa, KaK IIOKa3aHO Ha pHCYHKe.

3.YcTaHOBHTe ~eHrp. Pa3Mep KacceTI:.I. 18-43 CM(7-17 ,ll;IOHMOB) HJIH 20-40 CM 0603HaqJ:.Te rresy10 MJIH rrpasy10 CTOPOHY.

3HaqeHMe Bhl- MAc ,n;ep:>KKH. -

70KB CMHeqyscTB~-

200 e,n;. Cpe,n;Hee 25 lliKarra 20-40

4.C,n;erraifTe CHHMOK.

MAC

3erreHoqyscTB. 400 e,n;. 12.5

10-20

62

PYKA 12

JIOKOTb- AP. Tiono)l{eHHe rrau,HeHTa CH,L\51, pyKa BbiT~IHyTa Brrepe,L~.

303bMHTe ITJieHKY He06XO,[(HMOH 4YBCTBHTeJibHOCTH. CacceTa c ycHJIHBaiOW,HM 3KpaHoM 200/400 e,L~.

>a3Mep KacceThi. 8-24 CM(8-1 0 ,LIIOHMOB) )6o3Ha4hTe neByiO HJIH npasy10 cTopoHy.

3Ha4eHHe Bbi- MAC MAc ,L~ep)l{KH.

1.PacnOJIO)l{HTe naU,HCHTa, KaK ITOKa3aHO Ha pHCYHKe 2.PyKa rrau,HeHTa ITOBepHyTa KHCTblO BBepx.

TipH Hccne,L~oBaHHH pe6eHKa, pyKy rroJIO)l{HTb Ha KacceTy Ha BbiCOTe I 0-12 cM OT KacceTo-,L~ep)l{aTe

JI5!, ,[(Jl5! T04HOH ycTaHOBKH U,eHTpa. 3.YcTaHOBHTe U,eHTp.

4.C,L~enai:JTe CHHMOK.

53 KB CHHeYyBCTB. 3eJieH04yBCTB. 50 I 00/63

Cpe,L~Hee 12.5 10

lliKana 8-25 6.3-20

63

PYKA 13

JIOKOTb. CHHMOK 60KOM.

Bo3bMHTe IIJieHKY Heo6xo,n;HMOH qyacTBHTeJibHOCTH. 1.PaCIIOJIO)IQITe rra:QHeHTa, KaK IIOKa3aHO Ha pHCYHKe.

Kaccem c ycHJIHBaiOIIJ;HM 3KpaHOM 50/100 e.n;. 2.PyKa rra:u;HeHTa IIOBepHYTa 60JibiiiHM IIaJib:QeM BBepx. ,[(.rui ,n;eTeif- IIO,[(JIO)I(HTb IIO,[(CTaBKY 10-

Pa3Mep KacCeTbi. 18-24 CM(8-10 ,[(IOHMOB) 06o3HaqbTe JieayiO HJIH rrpaay10 cTopoey.

3HaqeHHe Bbl- MAc_ --.n;ep)I(KH.

53 KB CHHeqyacTa. 50 e.n;.

Cpe,n;Hee 20 lliKaJia 12.5-25

12 CM.

MAC

3.YCTaHOBHTe :QeHTp. 4.C,n;eJiaHTe CHHMOK.

3eJieHOtzyBCTB. 16 16

10-20

64

PYKA14

JIOKOTb- AP. Tiocrre TpaBMhi. TiorrycorHyToe rrorro)l(eHIIe. )],sa BII,IJ;a.

HhMIITe IIJieHKY He06XO,ll;liMOH qyBCTBIITeJihHOCTll. 1. PacrroJIO)I(IITe rrau;IIeHTa, KaK rroKa3aHo Ha

piiCYHKe. lCCeTa C YCIIJIIIBaiOlll,liM 3KpaHOM 50/100 e,IJ;. 2.PyKa rrau;IIeHTa IIOBepHyTa KliCThiO BBepx. )J,mr

,IJ;eTeH IIO,IJ;JIO)I(IfTe IIO,ll;CTaBKY 10-12 CM. 3.YcTaHOBIITe u,eHTp.

l3Mep KacceTbi. 4.C,IJ;eJiaHTe CHIIMOK. -24 CM(8-1 0 ,IJ;IOHMOB) 5.TioMemrilTe KacceTy, c,IJ;erra:HTe ,ll;pyro:H CHIIMOK. )03HaqbTe rreByiO HJIII rrpasyiO cTopoHy.

HaqeHIIe Bbl- MAc MAC ep)I(KII.

53 KB CIIHeqyscTB. 3erreHoqyBCTB. 50 e,IJ;. 100/63 e,IJ;.

:pe,IJ;Hee 20 16 UKarra 12.5-25 10-20

65

PYKA 15

OJi30PHbiH CHHMOK . KOCTEH IIPE,ll;IIJIEqb~- P A. llocn~ rpaBMbi.

Bo3hMHTe rmeHKY Heo6xo.n;HMOM qyBCTBHTeJibHOCTH.

KacceTa c ycHJIHBaroru;HM 3KpaHOM 50/100 e.n;. EcnH pyKa B rHrrce 200/400 e.n;.

Pa3Mep KacceThi. 24-30 CM(10-12 ,l(IOMMOB) 18-24 CM(8-1 0 ,l(IOMMOB) IIpH HCCJie,l(OBaHHH ,n;eTeM. 0603HaqhTe JieByiO HJIH rrpaByiO CTOpoey.

3HaqeHHe Bhl- MAC MAC ,n;ep)I(KH.

1.PaCIIOJio:>KHTe rra:QHeHTa, KaK IIOKa3aHO Ha pHCYHKe.

2.PyKa rraQHeHTa IIOBepHyTa KHCTblO BHH3. JlOKOTb COrHyT IIO,l( yrJIOM 90°.

3.YCTaHOBHTe QeHrp. 4.C,n;enaii:Te CHHMOK.

53 KB CHeqyBcTB. 3eneHoqyBCTB. 50 e.n;. 100/63 e.n;.

Cpe,n;Hee 12.5 10 lllKana 8-20 6.3-16 C IIOBH3KOM CHHeqyBCTB. 3eJieHoqyBCTB.

60KB 200 e.n;. 400/320 e.n;. Cp_e,n;Hee 6.3 4

66

PYKA 16

KOCTM IIPE)l,llJIEqh51. CmiMOK 6oKoM. ITocne TpaBMbi.

i03bMIITC ITJlCHKy HC06XO,UIIMOH I.JYBCTBIITCJlbHOCTII.

:acceTa c yciiJliiBaiOLQIIM 3KpaHOM 50/I 00 e,U.

cnii pyKa B riirrce 200/400 e,U.

a3Mep KacceTbi.

4-30 CM (I 0-12 ,UIOHMOB)

8-24 CM(8-l 0 ,UIOHMOB) rrpii IICCJlC,UOBaHIIII ,UCTCH.

1603Hai.JbTC JlCByiO IIJlii rrpaByiO CTOpoHy.

3Hai.JCHIIC Bbl- MAC MAC

'(Cp)I(KII.

53 KB CIIHCI.JYBCTB. 3eJlCHOI.JYBCTB.

50 C,U. 100/63 C,U.

::::pe,UHCC 12.5 10

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= ITOB513KOH CIIHCI.JYBCTB. 3eneHOI.JYBCTB.

60 KB 200 C,U. 400/320 C,U.

::::pe,UHCC 6.3 4

l.PacrrOJlO)KIITC ITaQIICHTa, KaK ITOKa3aHO Ha

piiCYHKC.

2.PyKa rraQIICHTa ITOBCpHyTa 60JlblliiiM llaJlbQCM

ssepx.

3.YCTaHOBIITC IJ,CHTp.

4.C,UCJlaHTC CHIIMOK.

67

PYKA 17

KHCTh. 063opHbiH CHHMOK - PA. IloJIO)I(eHHe pyKH, KaK rroKa3aHo Ha pHcyHKe.

Bo3hMHTe rrneHKY Heo6xo,n;HMOH qyBCTBHTeJihHOCTH. KacceTa c ycHJIHBaiO~HM 3KpaHOM 50/100 e,n;.

Pa3Mep KacceThi. 18-24 CM(8-10 ,ll;IOHMOB) 0603HaqbTe JieByiO HJIH rrpaByiO CTOpOHy.

3HaqeHHe Bbl- MAc MAc ,n;ep)I(KH.

1.PacrroJIO)I(HTe rra.u;HeHTa. 2.PyKa rran;HeHTa paCIIOJIO)I(eHa KHCTbiO BHH3.

3.YCTaHOBHTe n;eHTP. 4.C,n;enaifTe CHHMOK.

5 .Ilo rrpoch6e Bpaqa, 3aMeHHTe Kaccery, rroBef Te KHCTb, KaK IIOKa3aHO Ha pMCYHKe, C,D;eJiaH1

IIOBTOpHbiH CHHMOK.

53 KB CHHeqyBcTB. 3eJieHoqyBCTB. 50 e,n;. 100/63 e,n;.

Cpe,n;Hee 8 6.3 lliKana 5-16 4-12.5

68

PYKA 18

KU:CTh. CmiMOK 6oKoM.

lo3hMIITe nneHKY Heo6xo,.[(HMOH LJYBCTBIITeJihHOCTII. 1.PaciTOJIO"/KIITe naiJ,IIeHTa, KaK ITOKa3aHO Ha piiCYHKe.

:acceTa c ycHJIIIBaiOlll,IIM 3KpaHOM 501100 e,.[(. 2.PyKa nau.IIeHTa nosepHyTa 6onhiiiiiM nanhIJ,eM ssepx.

'a3Mep KacceThi. 3.YCTaHOBIITe IJ,eHTp. 8-24 CM(8-1 0 ,.[(IOHMOB) 4.C,.[(eJiai1Te CHIIMOK. )603HaLJbTe JieByiO IIJIH npaByiO CTOpOHy.

3HaLJeHIIe Bhl- MAc MAC n;ep)I(KII.

53 KB CHHeLJyBCTB. 3eJieHOLJYBCTB. 50 KB 100/63 e,.[(.

Cpe,.[(Hee 12.5 10

WKana 8-20 6.3-16

69

PYKA 19

IIAJIL:Qhl KHCTH. Ilocne 'TpaBMbi.

Bo3bMHTe rrneHKY Heo6xo,ll;HMOii qyscTBHTennHOCTH. 1.PacrronmKHTe rran;HeHTa, KaK IIOKa3aHO Ha pHCYHKe.

KacceTa c ycHnHBaiO:rn;HM 3KpaHOM 501100 e)J;. 2.KliCTb HaXO,ll;HTCH Ha IIO)J;yiiiKe, KaK IIOKa3aH HapncyHKe.

PruMep KacceThi. 3.YcTaHOBHTe n;eH'Tp. 18-24 CM(8-10 ,ll;IOHMOB) 4.C,ll;enaihe CHHMOK. 06o3HaqbTe nesy10 HnH rrpasy10 cTOpony. 5.C,ll;enaihe ,ll;pyroii BH,ll;.

3HaqeHHe Bbl- MAC MAC ,ll;ep)I(KH. -

53 KB CHHeqyscTB. 3eneHoqyscTB. -

50 e,ll;. 100/63 e,ll;. Cpe,ll;Hee 10 8 lliKana 6.3-20 5-16

70

PYKA 20

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l.PacrronmKHTe rrau,neHTa.

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3.C)J,eJiai1Te CHHMOK. t3Mep KacceThi.

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46 KB

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_j

_j

4.f10BTOpHTe CHHMOK Jia)J,OHhiO BBepx.

MAC

3eJieHOYYBCTB.

r

I 00/50 e)J,.

8

5-12.5

r r

r

L L

L

71

_j

_j

_j

r r

r

L L

L

_j

_j

_j

PYKA21

TIAJihD;hl KHCTH- AP.

Bo3LMHTe rrneHKY Heo6xo,n;HMoii qyscTBHTeJILHOCTH.

KacceTa c ycHJIHBaiDIIJ;HM 3KpaHOM 50/100 e,n;.

Pa3Mep KacceTLI. 18-24 CM(8-1Q ,li;IOHMOB) 06o3HaqLTe nesy10 HJIH rrpasy10 CTOPOHY.

3HaqeHHe Bbl- MAC MAc ,n;ep:>KKH.

1.PaCIIOJIO:>KHTe rran;HeHTa, KaK IIOKa3aHO Ha pHCYHKe.

2.TianLIJ;bi pacrrono:>KeHbl Ha KacceTe, KaK rroKa 3aHO Ha pHCYHKe.

3.YcTaHOBHTe n;eHTP. 4.C,n;ena:iiTe CHHMOK.

46KB CHHeqyscTB. - 3eneHoqyscTB. 50 e,n;. 100/50 e,n;.

Cpe,n;Hee 16 16 IliKana 12.5-25 12.5-25

72

PYKA22

llAJihll,hl. CHHMOK 60KOM.

03bMIITe ITJieHKY He06XO)J,l1MOH qyscTBHTeJibHOCTII.

acceTa c yciiJIIIBaiOlli,HM 3KpaHoM 501100 e)J,.

1.PaCITOJIQ)Kl1Te rrau,IIeHTa, KaK ITOKa3aHO Ha

pHCYHKe. 2.KIICTb ITOBepHyTa Jia)J,OHblO BHl13, rraJiblJ,bi

C)l(aTbl. a3Mep KacceThi. 3.YCTaHOBIITe IJ,eHTP. ~-24 CM(8-1Q )J,IOHMOB)

~HaqeHIIe Bbi- MAC MAC ~ep)I(KII.

46 KB CIIHeqyscTB. 3erreHoqyscTB. 50 e)J,. 100/50 e)J,.

=:pe)J,Hee 16 16

llKarra 12.5-25 12.5-25

73

4.C)J,eJiaHTe CHHMOK.

r-I

r r r

r

L L L

L

-~

I

_j

-~,

\

PYKA23

TIAJIE:Q. CHHMOK 60KOM.

Bo3bMHTe rrneHKY Heo6xo,n:HMoM: qyscTBHTeJibHOCTH. 1.PaCIIOJio:>KHTe rra:u;HeHTa, KaK IIOKa3aHO H~ pHCYHKe.

KacceTa c ycHJIHBaiO:rn;HM 3KpaHoM 50/100 e,n:. 2.ECJIH He06XO,LI;HMO, OTOrHHTe rrane:u; C IIOMO:rn;biO IIaJIOqKH.

Pa3Mep KacceTbi. 18-24 CM(8-10 ,LI;IOHMOB) 0603HaqbTe JieByiO HJIH rrpaByiO CTOpOHy.

3HaqeHHe Bbl- MAc ,LI;etl_:>KKH.

46KB CHHeqyscTB. 50 e,n:.

Cpe,n:Hee 8 lliKana 6.3-12.5

MAC

3. C,n:enaihe CHHMOK. ,[l;aHHbie rJiaBbl 21 HCIIOJib-3YIOTC.si ,LI;JI.sl IIOJIO:>KeHH.si AP H BH,n:a B :u;eno

3eJieHoqyBCTB. 100/50 e,n:.

8 6.3-12.5

74

HOfA 1

CHIIMOK TA3A- AP. OoJIO)I(CHJie- Jie)l(a Ha cmme.

'3bMI1TC ITJTCHKY HC06XO)J,l1MOH 4YBCTBI1TCJlhHOCTI1. l.PaCITOJIO'/I{JlTC rraiJ,HCHTa, KaK ITOKa3aHO Ha

p11CYHKC.

cceTa c ycHJTHBaiOmiiM 3KpaHoM 200/400 e)],. 2.ECJII1 rraiJ,HCHT HC TpaBMIIpOBaH, ITOBCpHIITC

CIO CTOilhi, 60JibWI1Ml1 IlaJih!IaMI1 BHyTpb.

3.lJ,eHTp- 4 CM Ha)], Cl1Mcj)l130M. 3Mep KaCCCTbl.

-43 CM( 14-17 )J,IOHMOB)

103HaY.hTC JTeByiO 11JTII rrpaByiO CTOpOHy.

1a'ICHI1C Bbl- MAC

;:p)I(Kl1.

70 KB CHHC'IYBCTB.

200 e)],.

pe)J,Hee 100

IKana 40-200

MAC

3eJTCHO'IYBCTB.

400 C)],.

50

20-100

75

4.C)J,eJTai1Te CHI1MOK. l1HCTPYKI!JUI )J,Jl5I )J,CTCH

CM. rnasy 25 (HOr A).

HOrA2

TA30liE,U:PEHHbiH CYCTAB- AP. IIono)l(eHHe- Jie)l(a Ha crrHHe.

Bo3hMHTe IIJieHKY Heo6xo,n;HMoii qyacTBHTeJibHOCTH. KacceTa c ycHJIHBaiO~HM 3KpaHoM 200/400 e,n;.

1.PaCIIOJI0)1(HTe rrau;HeHTa, KaK IIOKa3aHO Ha pHc: 2.ECJIH rrau;HeHT rpaBMHpOBaH, He IIOBOpaqHaaif~

ero CTOIIbi 60JibillHMH rranbu;aMH BHYTPb. 3.YCTaHOBHTe u;eHrp. Pa3Mep KacceThi.

24-30 CM(10-12 ,li;IOHMOB) 18-24 CM(8-10 ,li;IOHMOB) 0603HaqbTe JieByiO HJIH rrpaByiO CTOpOHy.

3HaqeHHe Bbl- MAc ,n;ep)I(KH.

70KB CHHeqyacTB. 200 e,n;.

Cpe,n;Hee 125 IllKana 63-250

4.C,n;eJiaifTe CHHMOK.

MAc

3eneHoqyacTB. 400 e,n;. 63

32-125

76

HOfA3

TA30J>E)l,PEHHbiH CYCTAB. CmrMOK 6oKOM. Tiono:tKemre - ne:tKa.

03hMHTe ITJieHKY He06XO,[{I1MOH Y.YBCTBHTeJihHOCTH.

acceTa c ycHJIHBaiOIIJ,HM 3KpaHOM 200/400 e,[{.

l3Mep KacceThi. t-3 0 CM (I 0-12 ,[{IOHMOB) 6o3HaY.hTe nesym HJIH rrpasy10 cTopoHy.

l.PaCITOJIO:tKHTe rrau,HeHTa, KaK ITOKa3aHO Ha pncyHKe.

2.TiosepHnTe Hory rrau,HeHTa TaKHM o6pa3oM, Y.T06bi OHa ITJIOTHO rrpHJierana K CTOJiy. TaKoe rrono:tKeHHe rrpHMeH51IOT, ecnH HeT rro

,[{03peHH51 Ha rrepenoM. 3.YCTaHOBI1Te U,eHTp.

4.C,[{CJiai:J:Te CHI1MOK.

~HaY.emre Bhi- MAc MAC

~ep:tKKH.

70 KB CHHeY.yscTB. 3eneHOY.YBCTB. 200 e,[{. 400 e,[{.

=pe,[{Hee 125 63 liKana 63-250 32-125

77

HOrA4

TA306E,II;PEHHhiH CYCTAB. 063opHbiii CHHMOK 6oKoM. llpH rro,n;03peHHH Ha rrepeJIOM.

Bo3hMHTe rrneHKY Heo6xo,n;HMOii qyscTBHTeJihHOCTH. KacceTa c ycHJIHBaiO:rn;HM 3KpaHOM 200/400 e,n;

l.PaCIIOJIO)I(HTe rrau;HeHTa.3TO He CTaH,n;apTHb CHHMOK meifKH 6e,n;pa 60KOM.

Pa3Mep KacceThi. 24-30 CM(10-12 ,D;IOHMOB) 0603HaqbTe JieByiO HJIH rrpasy10 CTOpoHy.

3HaqeHHe Bbl- MAC ,n;ep)I(KH. -

80KB CHHeqyscTB. 200

Cpe,n;Hee 160 lliKana 100-250

MAc

2.llOJIO)I(eHHe rrau;HeHTa, KaK IIOKa3aHO Ha pHCYHKe.

3 .PaCIIOJIO)I(HTe peHTreHOBCKYIO Tpy6Ky 110,11; ) JIOM 25°, KaK IIOKa3aHO Ha pHCYHKe.

4.YcTaHOBHTe u;eHTp. 5.C,n;eJiaiiTe CHHMOK.

3eJieHOqyBCTB. 400/450 e,n;.

80 50-160

78

HOfA5

TA30EE)l,PEHHhiM CYCT AB. CmiMOK 6oKOM. IIpii rro,IJ,o3peHIIII Ha rrepenoM.

03hMIITe IIJieHKY He06XO)J,IIMOH qyBCTBIITeJibHOCTII.

acceTa C YCIIJIIIBaiOW:IIM 3KpaHOM 200/400 C)],.

l.PaCIIOJIQ)KIITe naiJ,IIeHTa, KaK IIOKa3aHO Ha

piiCYHKe.

a3Mep KacceThl.

8-43 CM(7-17 ,IJ,IOHMOB)

4-30 CM(l0-12 ,Il,IOHMOB) ,Il,JI51 ,IJ,eTeH

1603HaqhTC JieByiO IIJIII npasyiO CTOpOHy.

3HaqeHIIe Bhl- MAC

CJ,ep)I(KII.

KB CIIHeqyscTB.

90 KB, 200 e,IJ,.

:=pe,IJ,Hee 160

WKana 100-250

MAC

3eneHoqyscTB.

2.KOHCOJih KperrJieHII5I Tpy6KII II Tpy6Ka HarrpaB-

JieHhl IIO)J, ymOM 30°.

3 .PaCCT05IHIIe OT KaCCeThl )],0 Tpy6KII-120 MM.

4.IIorrpciiTe rraiJ,IIeHTa rro,IJ,ep)l(aTh KacceTy.

5.CorHIITe TpaBMIIpOBaHHYIO Hory II 3aqJIIKCII-

pyifTe ee, KaK IIOKa3aHO Ha piiCYHKe.

6.Y CTaHOBIITe IJ,eHTp, C,IJ,eJiaHTe CHIIMOK.

.J .J .J

80 KB, 400/450 e,IJ,. .J .J

.J

125

80-200

79

HOrA6

liE,II;PEHIIMI KOCTh - AP.

Bo3:bMHTe rmeHKY Heo6xo,n;HMOH IJYBCTBHTeJII>HOCTH. KacceTa c ycHJIHBaiO:m;HM 3KpaHOM 200/400 e,n;. llpH HCCJie,D;OBaHHH ,n;eTeif, KaCCeTa HaXO,D;HTCJI Ha CTOJie.

Pa3Mep Kacceni. 18-43 CM(7-17 ,D;IOHMOB) 24-30 CM(l0-12 ,D;IOHMOB) ,D;JIJI ,n;eTeH 0603HaqbTe JieByiO HJIH rrpaByiO CTOpOHy.

1.PacrrorrmKHTe rraqHeHTa. 2. TpaBMHpoBaHHDIH cycTaB,

,D;OJI)I(eH 6DITb BH,n;eH Ha CHHMKe. EcrrH rraqHeHT He TPaBMHpoBaH, rroBepHHTI

ero CTOIIDI 6orri>mHMH rrarri>qaMH BHYTPI>. Be,n;peHHDIH cycTaB HJIH KorreHHDIH ,n;oJI)I(Hhi 6niTb BH,n;HMbiMH.

3. Y CTaHOBHTe qeHTP, c,n;erraifTe CHHMOK.

3HaqeHHe Bbl- MAC MAC ,n;ep)I(KH.

70KB CHHeiJYBCTB. - 3eJieHoqyBCTB. 200 e,n;. 400 e,n;.

Cpe,n;Hee 50 25 IliKarra 32-100 16-40 Pe6eHoK 53 KB CHHeqyBCTB. 3erreHOIJYBCTB.

200 e,n;. 400/250 e,n;. IliKarra 3.2-8 2.5-6.3

80

HOfA 7

EE)l,PEHHASI KOCTb. J1e)l{a. CmrMoK 6oKoM.

Bo3hMIITe rrneHKY Heo6xo,IJ:IIMoi1 qyscTBIITeJihHOCTII. 1.PacrrOJI0)1{11Te ITalllleHTa, KaK ITOKa3aHO Ha

piiCYHKe.

KacceTa c yciiJIIIBaiOlll,IIM 3KpaHOM 200/400 e,IJ:.

IIpii Jiccne,IJ:osaHHH ,IJ:eTei1 KacceTa Haxo,IJ:IITC5! Ha cTone.

Pa3Mep KacceTbi.

2.I1ccne,IJ:yeMa5! Hora BbiT5!HyTa.

3.CorHIITe ;:J:pyryiO Hory rral1IIeHTa.

4.YCTaHOBIITe lleHTp.

18-43 CM(7-17 AIOHMOB)

24-30 CM(10-12 ,IJ:IOHMOB) ,IJ:JI5! ,IJ:eTeH

06o3HaYbTe nesy10 HJIII rrpasy10 cTopoHy.

3HaYeHIIe Bhl- MAC

,IJ:ep)I{Kll.

70 KB CIIHeYyscTs.

200 e,IJ:.

Cpe;:J:Hee 50

illKana 32-100

,[(eTII 53 KB CIIHeYyscTB.

200 e,IJ:.

illKana 3.2-8

5.C,IJ:eJiaHTe CHIIMOK.

MAC

3eneH04YBCTB.

400 e,IJ:.

25

16-40

3eneH04YBCTB.

400/250 e,IJ:.

2.5-6.3

81

HOrA8

liE,il;PEHILUI KOCTb. CHHMOK 6oKoM. Ilocne 1paBMhi.

Bo3hMHTe IIJieHKY Heo6xo,n;HMOH qyscTBHTeJihHOCTH. KacceTa c ycHJIHBaiOIIJ;HM 3KpaHOM 200/400 e.n;. IlpH HCCJie,[J;OBaHHH ,n;eTeif KaCCeTa HaXO,[J;HTCH Ha CTOJie. Pa3Mep KacceThi. 18-43 CM(7-17 ,ll;IOHMOB) 24-30 CM(l0-12 ,ll;IOHMOB) ,ll;JIH ,n;eTeif 0603HaqbTe JieByiO HJIH npaBylO CTOpOHy.

3HaqeHHe Bhl- MAc ,n;ep)I(KH.

MAC

1.PacnonmKHTe nau;HeHTa. 2.COrHHTe M ITO,[J;HHMHTe He HCCJie,n;yeMyiO HOry 3.YcTaHOBHTe u;eHT}J. KoneHHhiH cycTaB .n;omKeJ

6hiTh BH,[J;HMhlM. 4.CorHHTe H no.n;.n;ep)I(HTe .n;pyry10 Hory. 5.C,n;enaifTe CHHMOK.

70KB CHHeqyscTB. 3eneHoqyscTB. 200 e.n;. 400 e.n;.

Cpe,n;Hee 50 25 lliKana 32-100 16-40 ,L(eTH 53 KB CHHeqyscTB. 3eJieHoqyBCTB.

200 e.n;. 400/250 e.n;. lliKana 3.2-8 2.5-6.3

82

HOrA9

KOJIEHO - AP. Jle)](a Ha cmme.

Bo3bMHTe rrneHKY Heo6xo,.a:HMOi1 Y:YBCTBHTeJibHOCTH.

KacceTa c ycHJIHBaiOIIJ;HM 3KpaHOM 50/100 e,.a:.

Pa3Mep KacceTbi. 18-24 CM(8-10 AIOHMOB) 06o3HaY:bTe nesy10 HJIH rrpasyiO cTopoHy.

l.PaCIIOJIO)](IlTe rrau,HeHTa, KaK IIOKa3aHO Ha pHCYHKe. KacceTa Haxo,.a:HTC5! Ha cTone.

2.EcnH B03MO)](HO, rrosepHHTe cTorry HeMHoro BHYTPb H 3aQ)l1KCHpyi1Te ee MeiiioY:KOM

C rreCKOM. 3.YcTaHOBHTe U,eHTp.

4.C,.a:enai1Te CHHMOK. ECJIH 06Hapy)](eH He60JiblllOH rrepeJIOM, spaY: MO)](eT Ha3HaY:HTb ,IJ:OIIOJIHHTeJlbHbiH 0630pHbiH CHHMOK (no,.a: ymoM 45°).

3HaY:eHHe Bbl- MAc MAC ,.a:ep)](KH.

53 KB CHHeLJyscTB. 3eJieHOY:YBCTB. 50 e,.a:. 100/63 e,.a:.

Cpe,.a:Hee 50 40 ll1Kana 25-80 20-63

83

HOrA 10

KOJIEHO. CHHMOK 6oKOM. Ilocne 1paBMhi.

Bo3bMHTe rrneHKY Heo6xo,D;HMOH qyscTBHTenbHOCTH.

KacceTa c ycnnnsaiOID;HM 3KpaHoM 50/100 e,D;.

Pa3Mep KacceTbi. 18-24 CM(8-1 0 ,ll;IOHMOB) 06o3HaqbTe nesyro nnn rrpasyro cTopoffY.

3HaqeHHe Bbl- MAc MAc ,D;ep)I(KH.

53 KB CnHeqyscTB. 3eneHOqyBCTB. 50 e,D;. 100/63 e,D;.

Cpe,D;Hee 50 40 IliKana 25-80 20-63

84

1.Pacrrono:>~mTe rrau;neHTa, KaK rroKa3aHo Ha pncyHKe.

2.llccne;zyeMYIO Hory cnerKa corHHTe B KoneHe . .l(pyrrur Hora corHYTa B KoneHe qyTh 6onhme H ne)I(HT Ha CTOne.

3.YCTaHOBHTe n;eH1p. 4.C,D;enaifre CHHMOK.

HOfA 11

KOJIEHO. CHI1MOK 6oKOM. Jle)J{a Ha cm1He. Tiocne TpaBMhi.

Bo3hMHTe rrneHKY Heo6xo,IJ,HMOH qyscTBHTCJlhHOCTH.

KacceTa c ycHJlHBaiOIIIHM 1KpaHoM 50/100 e,IJ,.

Pa3Mep KacceThi.

18-24 CM(8-10 ,IJ,IOHMOB)

0603Ha'-lbTe JlCBYIO HJlH rrpaByiO CTOpoHy.

3Ha'-ICHHC Bbl- MAC MAc

,IJ,Cp)J{KH.

l.PaCIIOJlO)J{HTe naiJ,HCHTa, KaK IIOKa3aHO Ha

pHCYHKe.

2.KacceTa <iJHKCHpyeTC5! C ThiJlhHOH CTOpOHhl

HOrH IIO,IJ,YIIIKOif.

3.CorHHTe H IIO)J,HHMHTe 3,IJ,OpOBYIO HOry, KaK

IIOKa3aHO Ha pHCYHKe.

4.YCTaHOBHTe IJ,CHTp.

5.C,IJ,eJlaHTe CHHMOK.

53 KB CHHC'-IYBCTB. 3eneHO'-IYBCTB.

50 e,IJ,. 100/63 e,IJ,.

Cpe,IJ,Hee 50 40

lllKana 25-80 20-63

85

HOrA 12

KOJIEHHhiH CYCTAB. BHyT}JeHHSHI rroaepxHOCTb. lloJio)l(eHHe - Jie)l(a Ha crrHHe. Jlyq HarrpaaJieH rro,n; ymoM 30°.

Bo3hMHTe rrJieHKY Heo6xo,n;HMOH qyacTBHTeJihHOCTH. KacceTa c ycHJIHBaiDrn;HM 3KpaHOM 50/100 e,n;.

Pa3Mep KacceTbi. 18-24 CM(8-10 ,li;IOHMOB) 0603HaqbTe JieByiD HJIH rrpaByiD CTOpOHy.

3HaqeHHe Bbl- MAC MAC ,n;ep)I(KH.

1.PacrroJIO)I(HTe rranHeHTa. lloJIO)I(HTe KacceTy Ha TBep,n;yro rro,n;,n;ep)I(HBarorn;yro rro,n;yiiiKY

BbiCOTOH 12-15 CM. 2.Y CTaHOBHTe neHT}J.

3.C,n;eJiaif:Te CHHMOK.

53 KB CHHeqyacTB. 3eJieHoqyacTB. 50 100/63 e,n;.

Cpe,n;Hee 40 32 lllKana 20-63 16-50

86

HOfA 13

Bo3hMHTe rrneHKY Heo6XOJJ:l1MOH qyscTBHTeJihHOCTM. 1.PacrronmKHTe rrau:HeHTa, KaK rroKa3aHo Ha p11CYHKC. flOJIO)KJ1Te KaCCeTy

KacceTa c ycHJIHBaiOlli,HM 3KpaHOM 50/100 e):(. Ha llO):(CTaBKY Bb!COTOH 25 CM.

Pa3Mep KacceTbi. 18-24 CM(8-1 0 AIOHMOB) 0603Ha%Te JieByiO HJIH rrpasy10 CTOpoHy.

3Ha'feHHe Bhl- MAc Aep)KKH.

53 KB CHHe'fyBCTB.

50

CpeAHee 32

illKana 16-50

MAC

2.Y CTaHOBHTe [(eHTp. 3. C):(enailTe CHMMOK.

3eneHOlfYBCTB. 100/63 eJJ:.

25

12.5-40

87

.J

HOfA 14

rOJIEHb - AP. llOJIO)I(eHHe - Jie)l(a Ha CIIHHe.

Bo3bMHTe IIJieHKY Heo6xo,n;HMOH qyscTBHTeJibHOCTH. 1.PaCIIOJI0)1(HTe rran;HeHTa, KaK IIOKa3aHO Ha

pHCYHKe.

KacceTa c ycHJIHBaiOIIJ;HM 3KpaHOM 50/100 e.n;. 2.ECJIH B03MO)I(H0, IIOBepHHTe CTOrry HeMHOrO

BHYTpb H 3a<PHKCHpyiiTe ee.

Pa3Mep KacceTbi.

18-43 CM(7 -17 ,D;IOHMOB)

35-43 CM(14-17 ,D;IOHMOB)

0603HaqbTe JieByiD HJIH rrpaByiD CTOpOHy.

3HaqeHHe Bbl- MAC

.n;ep)I(KH.

53 KB CHHeqyscTB.

50

BKJiroqag KOJieHo 40

BKJiroqag JIO,D;bi)I(KY 25

MAc

3.YcTaHOBHTe u;eHTp. Xont: 6bi O)J;HH cycTaB

,n;OJI)I(eH 6hiTb BH)J;HMbiM. BH,n;HMbiM ,n;OJI)I(eH

6biTb cycTaB, KOTOpbiH 6JIH)I(e K IIOBpe)l(,lJ;eH

HOH qacTH KOCTH. EcJIH ecTb rroBH3Ka,

yseJIHqbTe Bbi,n;ep)I(Ky.

4.C,n;eJiaHTe CHHMOK.

3eJieHoqyBCTB.

100/63 e.n;.

32

20

88

HOfA 15

roJIEHh. CmiMOK 60KOM. ITonO)l(eHIIe ne)l(a. ITpii IlO,Il;03peHIIII Ha rrepenoM.

303hMIITe rrneHKY He06XO,IJ:IIMOH Y.YBCTBIITeiThHOCTII.

{acceTa c yciinHBaiOll(IIM 3KpaHOM 50/100 e,n:.

)a3Mep KacceThi.

l8-4 3 CM(7 -1 7 ,IJ:IOHMOB)

)5-43 CM(14-17 ,IJ:IOHMOB)

)6o3HaY.hTe nesyiO IIJJH npasyro cTopoHy.

3HaY.eHIIe Bbl- MAC

,n:ep)l(KII. (cpe,n:Hee)

MAC

(cpe,n:Hee)

l.Pacnono)l(IITe rrauiieHTa, KaK noKa3aHo Ha

piicyHKe. KacceTa Haxo,n:IITC5! Ha CTone.

2.I1ccne,n:yeMa5! Hora Y.YTh corHyTa B KoneHe.

~pyra5! Hora corHyTa B KoneHe II ne)l(IIT Ha

cTone.

3.YcTaHOBIITe ueHTp. Xonr 6hi o,n:HH cycTaB

,n:on)l(eH 6biTb BII,n:eH. Ecnii ecTh ITOB}J3Ka

yseniiY.hTe Bhi,n:ep)l(Ky.

4.C,n:enai1Te CHIIMOK.

53 KB CHHeYyscTB. 3eneHOY.YBCTB.

50 e,n:. 100/63 e,n:.

BKniOYa}J KoneHo 40 32

BKniOYa}J no,n:bi)l(KY 25 20

89

HOrA 16

rOJIEHb. CHHMOK 60KOM. Ilocne rpaBMbl. IlOJIO)I(eHHe - Jie)l(a.

Bo3bMHTe rmeHKY Heo6xo,n;HMOii qyacTBHTeJibHOCTH. 1.PaciiOJIO)I(HTe rran;HeHTa, KaK IIOKa3aHO Ha pHCYHKe.

KacceTa c ycHJIHBaiO:rn;HM 3KpaHOM 50/100 e,n;.

Pa3Mep KacceTbi. 18-43 CM(7 -17 ,ll;IOHMOB) 06o3HaqbTe neay10 HJIH rrpaay10 cTOpoHy.

3HaqeHHe Bbl- MAC ,n;ep)I(KH. ( cpe,n;Hee)

53 KB CHHeqyacTB. 50 e,n;.

BKJIJOqaH KOJieHo 40 B KJIJOqaH no,n;bi)I(KY 25

2.EcnH B03MO)I(HO, rroaepHHTe cTorry HeMHoro BHYTIJb. EcJIH Ha HOre IIIHHa- CHHMHTe ee. CorHHTe ,n;pyry10 Hory, KaK rroKa3aHo Ha

pHCYHKe. 3.YcTaHOBHTe n:eHrp. CycTaB oKoJio rpaBMbi

,n;OJI)I(eH 6I>ITb BH,ll;HMbiM. EcnH ecTb rroBH3Ka, yaenHqb Te Bbl,n;ep)I(KY.

4.C,n;enaiiTe CHHMOK.

MAC ( cpe,n;Hee)

3e.Ji:eHoqyacTB. 100/63 e,n;.

32 20

90

HOfA 17

rOJIEHOCTOIIHhiM CYCTAB- AP. 06lll,HH BH)l,. IloJIO)l{eHHe - Jie)Ka.

Bo3hMHTe rrrreHKY Heo6xo)l,HMOH qyBCTBHTerrhHOCTH. l.PaCIIOJIO)l{HTe rrau:HeHTa, KaK IIOKa3aHO Ha

pHCYHKe. KacceTa c ycHJIHBaiOlll,HM 3KpaHOM 501100 e)],. 2.)J:JI51 CHHMKa BHyTpeHHeH CTOpOHhi IIOBepHHTe

CTorry BHYTPh Ha 15°. I1p11 BhiiiOJIHeHHH

Pa3Mep KacceThi. 18-24 CM(8-10 )l,lOHMOB) 06o3HaqhTe rreByiO HJIH rrpaByiO cTopoHy.

3HaqeHHe Bhi- MAC Aep)l{KH.

53 KB CHHeqyBCTB. 50

Cpe)l,Hee 25 lliKarra 16-50

IIp51MOrO CHHMKa - CTOIIa HaT51HyTa BBepx.

MAC

3erreHoqyBCTB. 100/63 e)],.

20 12.5-40

91

3. Y CTaHOBHTe U:eHTp. 4.C)l,eJiaHTe CHHMOK.

HOrA 18

rOJIEHOCTOIIHbiH CYCTAB (cHHMOK 6oKoM). rOJIEHOCTOIIHbiH CYCTAB (Hapy)I(HIDJ: CTOpOHa) ..

Bo3bMHTe IIJieHKY Heo6xo,n;HMOM qyacTBHTeJibHOCTH. 1.PaCIIOJIO)I(HTe rran;HeHTa, KaK IIOKa3aHO Ha pHCYHKe.

KacceTa c ycHJIHBaiDmHM 3KpaHOM 50/100 e,n;. 2. CHHMOK 60KOM - IIOBepHHTe CTOrry B Hapy)I(HYIO CTOpoey. ,ll;IDI IIOJiyqeHIDI Hapy)I(HOM CTOpOHbl IIOBepHHTe CTOrry Pa3Mep KacceTbi.

18-24 CM(8-1 0 ,li;IOHMOB) 0603HaqbTe JieByiO HJIH rrpaay10 CTOpOHy.

3HaqeHHe Bbl- MAC .n;ep)I(KH.

53 KB CHHeqyacTB. 50 e.n;.

Cpe,n;Hee 20/25 lliKana 16-50

MAC

Ha 30°, KaK IIOKa3aHO Ha pHCYHKe (no Ha3HaqeHHIO apaqa).

3.YcTaHOBHTe n;eHrp. 4.C,n;enaiiTe CHHMOK.

3eJieHOqyBCTB. 50/100 e.n;. 16/20 12.5-40

92

HOfA 19

() CTOIIA- AP 11 nAJihll,hl CTOIIhl- AP. IlOJIO)I(eHHe- Jie)l(a Ha CIIHHe. Jlyq HarrpasJieH IIO,ll, yrnoM 10 .

Bo3hMHTe rrneHKY Heo6xo,ll,HMOH qyscTBHTeJihHOCTH.

KacceTa c ycHJIHBaiOIIJ;HM 3KpaHOM 50/100 e,ll,.

Pa3Mep KacceThi.

18-24 CM(8-l 0 ,ll,IOHMOB)

06o3Ha%Te nesyiO HJIH rrpasyiO cTopoHy.

3Ha'-leHHe Bbl- MAC MAC

,ll,ep)I(KH.

l.PaciiOJI0)1(11Te rrau,HeHTa, KaK IIOKa3aHO Ha

pHCYHKe.

2.Hora HeMHOrO COrHyTa, CTOIIa IIJIOTHO rrpH

)I(aTa K CTOJly. Y CTaHOBHTe JJ,eHTp.

3.~ml IIaJihJJ,eB CTOIIhi ycTaHOBHTe IIOJlOBHHY

3Ha'-leHH51 MAc.

4.C,ll,eJiaHTe CHHMOK.

46 KB CHHeY.yscTs. 3eJieHO'-IYBCTB.

50 e,LJ,. 100/50 e,l],.

Cpe,ll,Hee 25 25

illKana 20-64 20-64

IlaJihll,hi 10 10

93

HOfA20

CTOIIA. CHHMOK 6oKOM. lloJIO)I(eHHe - Jie)l(a.

Bo3hMHTe rrJieHKY Heo6xo,n:HMOH qyBcTBHTeJihHOCTH.

KacceTa c ycHJIHBaiD:rn;HM 3KpaHoM 50/100 e.n;.

Pa3Mep KacceThi. 18-24 CM(8-10 ,ll;IOHMOB) 24-30 CM(l0-12 ,ll;IOHMOB) 0603HaqbTe JieByiO HJIH rrpaByiD CTOpoHy.

3HaqeHHe Bbl- MAC ,n:ep)I(KH.

MAc

1.PaciiOJIO)I(HTe rra:u;HeHTa, KaK IIOKa3aHO Ha pHCyHKe. KacceTa HaXO,ll;HTCH Ha CTOJie.

2.llccJie,n:yeMaH Hora corHyTa B KOJieHe, rra:u;HeHT Jie)I(HT 60KOM Ha CHHMaeMOH CTO

pOHe. 3.YCTaHOBHTe :u;eHTP. 4.C,n:eJiaHTe CHHMOK.

46KB CHHeqyBCTB. 3eJieHoqyBCTB. 50 e.n;. 100/50 e,n;.

Cpe,n:Hee 25 25 lliKaJia 20-64 20-64

94

HOrA 21

CTOIIA - P A. ITorro)I{CHIIC - JIC)I(a Ha )I{IIBOTC.

Bo3bMHTC rrrrcHKY Hco6xo)J,IIMOH qyscTBHTCJlbHOCTII. 1.PaCITOJ10)1(liTC rraiJ,IICHTa, KaK ITOKa3aHO Ha piiCYHKc. KacccTa Haxo)J,IITC51 Ha cTorre.

KacccTa c yciiJIIIBaJOili,IIM 3KpaHOM 501100 C)],.

Pa3Mep KacceTbi. 18-24 CM(8-1 0 )J,JOHMOB) 24-30 CM(l0-12 )J,JOHMOB) 06o3HaqhTe rresyJO IInH rrpasyfO cTopoHy.

3HaqeHIIC Bbl- MAC )J,Cp)I{KII.

46 KB CIIHeqyscTB. 50 C)],.

Cpc)J,Hee 25

lliKarra 20-64

2.Y CTaHOBIITC ll,CHTp.

3.C)J,eJiaHTC CHIIMOK.

MAc

3erreHoqyscTB. 100/50 C)],.

25 20-64

95

HOrA22

CTOIIA- AP. IloJIO)I(eHRe- Cli.LVI Ha cToJie. Jlyq HarrpaaneH rro.n; ymoM 15°.

Bo3bMRTe rrneHKY Heo6xo,n;RMoii qyacTBRTeJihHOCTii.

KacceTa c ycRJIIiBaiO:m;liM 3KpaHOM 50/100 e.n;.

Pa3Mep KacceTbi. 18-24 CM(7-9 ,l(IOHMOB) 24-30 CM(9-12 ,l(IOHMOB) 06o3HaqhTe neay10 liJIIi rrpaay10 cTopoey.

3HaqeHRe Bbi- MAc .n;ep)I(Kii.

MAc

1.PaCIIOJIO)I(IiTe rra:u;ReHTa, KaK IIOKa3aHO Ha pRCYHKe. KacceTa Haxo,n;RTCJ£ Ha CTOJie.

2.CTOIIa HaxO,l(liTCJl IIO,l( yrJIOM, KaK IIOKa3aHO Ha pliCYHKe.

3. Y CTaHOBiiTe :QeHTP. C,n;eJiaHTe CHIIMOK.

46KB CRHeqyacTB. 3eneHoqyacTB. 50 e.n;. 100/50 e.n;.

Cpe,n;Hee 25 25 lliKana 20-64 20-64

96

HOfA 23

UHTOqHAJI KOCTh. IlonyaKciiaJihHhiH CHIIMOK. IIono)l(eHIIe - ne)l(a Ha cniiHe.

Jlyy: HanpaBJieH TIO)l; yrJIOM 30°.

13hMIITe TIJieHKY He06XO)l;liMOH Y:YBCTBIITeJihHOCTII. l.PacnOJIO)I(IITe naiiiieHTa, KaK TIOKa3aHO Ha

piiCYHKe. KacceTa Haxo)l;IITC51 Ha cTone .

. CCeTa C yciiJIIIBaiOIIIliM 3KpaHOM 50/100 e)];.

3Mep KacceThi.

-24 CM(8-1 0 )l;IOHMOB)

l03HaY:hTe JieByiO IIJIII npaByiO CTOpOHy.

HaY:eHIIe Bhl- MAC

ep)I(KH.

53 KB CIIHeY:yBcTB.

50 e)];.

pe.D:Hee 25

1Kana 16-40

2.CTOna TIO)l;T51HyTa K Bepxy npii TIOMOIIIII

umypa.

MAC

3.YCTaHOBIITe I!eHTp.

4.ECJIII naiiiieHT TpaBMIIpOBaH, IICTIOJih3YHTe

.D:pyryiO no3III!IIIO (HOr A 24).

5.C)l;eJiaHTe CHIIMOK.

3eneHOY:YBCTB.

100/63 e)];.

20

12.5-32

97

HOrA24

IUITQqHJUI KOCTh. IIo.rryaKCJHUibHbiH CHHMOK. IloJIO)l(eHHe - Jie)l(a Ha )l(lfBOTe. Jlyq HarrpaBJieH IIO)l; yrJIOM 60°.

Bo3bMHTe rrneHKY Heo6xo,n;HMoii qyBcTBHTeJibHOCTH.

KacceTa c ycHJIHBaiOIIIMM 3KpaHOM 50/100 e.n;.

Pa3Mep KacceTbi. 18-24 CM(8-10 ,ll;IOHMOB) 0603HaqbTe JieByiO HJIH rrpaByiO CTOpOHy.

3HaqeHHe Bbl- MAc MAC .n;ep)l(KH.

1.PaCIIOJIO)l(HTe rra~HeHTa, KaK IIOKa3aHO Ha pHCYHKe.

2.YCTaHOBHTe ~eHTP. 3 .EcnH rra~HeHT TPaBMHpOBaH - HCIIOJib3YiiTe

.n;pyry10 rro3H~HIO Hnnrro3M~HIO (Hor A 23 4.C,n;enaifTe CHHMOK.

70KB CHHeqyBcTB. 3eJieHoqyBCTB. 50 e.n;. 100 e.n;.

Cpe,n;Hee 64 32 lliKana 40-100 20-50

98

HOfA25

TA3 li TA30EE)l,PEHHhiM CYCTAB- AP. )J,m1 MJia)J,eHI.~eB H )J,CTel-i.

03hMHTC IIJICHKY Heo6XO)J,HMOH 4YBCTBHTCJihHOCTH. l.PaCIIOJIO)KHTC rraiJ,HCHTa, KaK IIOKa3aHO Ha

pHCYHKe.

aCCCTa C YCHJIHBaJOIIJ;HM 3KpaHOM 200/400 C)J,.

l3Mep KaCCCThl.

~-24 CM(8-l 0 )J,JOHMOB)

603Ha4hTC JlCBYJ-0 HJIH rrpaByJO CTOpOHy.

!Ha4CHHC Bbl- MAC

~ep)l{KH.

53 KB CHHC4YBCTB.

200 C)J,.

=pe)J,Hee 6.3

liKaJla 4-12.5

MAc

2.Pe6eHKa IIO)J,)J,Cp)l{HBaJOT 3a HorH H pyKH.

PeHTreH-na6opaHThi, rro)J,)J,Cp)l{HBaJOIIJ;He

pe6eHKa, )J,OJI)l{Hbl Ha)J,CTh cpe)J,CTBa 3aiiJ;HThi,

ccpnr<Prru,HpOBaHHhiC B ycTaHOBJlCHHOM IIO

p51)J,KC.

3.I1oJIO)l{HTC pe6eHKa crrrrHol-i Ha KacceTy.

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4.C)J,eJiaHTC CHHMOK, KOr)J,a pe6eHOK He )J,BH

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3eJICHO'-IYBCTB.

400/250 e)J,.

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3.3-10

99

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ABTOM8THqecKHH rrpou;ecc rrpOHBKH IIJICHKH. IlpH aaToMaTHqecKoM npon:ecce oqeHb Ba)I(HO yqHTbiBaTb HHCTPYKU:HH no 3KcnJiyaTaU:HH npoHBOqHoii MaiiiHHbi

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,ll;IDI ,ll;eTaJibHoro onHcaHHH no o6opy,ll;oBaHHIO H coxpaHeHHIO 3aTeMHeHIDI CMOTPHTe pyKOBO,ll;CTBO

«Quality Assurance Work», Geneva 2001 (WHO/DIL/01.3).

100

P05IBKA IIJJEHKH

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101

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102

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104

The -wHO manual of diagnostic imaging

'

Radiographic Technique and Projections

Editors

Harald Ostensen M.D. Holger Pettersson M.D.

Author

Staffan Sandstrom M.D.

In collaboration with

K. Akerman R.T., T. Chakera M.D., P. Corr M.D., K. Eklund R.T., L. Frostgard R.T., C. Fyledai-Kastberg R.T., R. Garcia Monaco M.D., R. Gunther M.D., T. Holm M.D.,

V. Jackson M. D., M. Joshi M.D., P. Palmer M.D., M. Watnick M.D>

Published by the World Health Organization in collaboratio{l with the

International Society of Radiology

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